Individual provider · Type 1 NPI

Stephen G. Wallace, MD

Hematology & Oncology Physician · Moorestown, NJ

NPI number 1144255498 Active

Practice location

350 Young Ave Ste 200
Moorestown, NJ 08057-3146

Call (609) 702-1900 Map

Fax (609) 702-8455

Mailing address

25 Main St Ste 601
Hackensack, NJ 07601-7083

Specialties and licenses

Taxonomy	Code	License
Hematology & Oncology Physician Primary	207RH0003X	MA079166 (NJ)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1144255498

Stephen G. Wallace, MD's National Provider Identifier is 1144255498, issued on Jul 12, 2006. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Moorestown, NJ. The record was last updated on Oct 19, 2021.