Dr. SIMON ANDREW WALLACE MD
Individual Provider (NPI-1)
Active
Internal Medicine, Hospice and Palliative Medicine
Provider Information
- NPI Number
1437685914- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 536 LIPPINCOTT DR, MARLTON, NJ, 080534805
- Phone
- (856) 355-7155
- Fax
- (856) 325-4798
Specialties & Taxonomies
Internal Medicine, Hospice and Palliative Medicine
Primary License: NJ #25MA12907600
Physical Medicine & Rehabilitation
License: WI #7636-851
Physical Medicine & Rehabilitation
License: WI #72026
Internal Medicine, Hospice and Palliative Medicine
License: PA #MD477813
Physical Medicine & Rehabilitation
License: NJ #25MA12907600