Wallace Vascular, Llc.

LBN: Wallace Vascular, Llc.
Wallace Vascular, Llc. is an health care organization with primary practice located at 51 Dutilh Rd Ste 100 , Cranberry Township PA 16066-4148. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Wallace Vascular, Llc. can be contacted via phone (724) 201-2399, or through Wallace, Justin Robert via phone (724) 201-2399.

Contact Information

Primary practice address
51 Dutilh Rd Ste 100 Cranberry Township PA 16066-4148
Phone: (724) 201-2399
Fax: (724) 776-3864
Website:
Map and Directions
Authorized official contact:
Name: Wallace, Justin Robert Doctor of Medicine (MD)
Phone: (724) 201-2399

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X

Profile Details

NPI number 1629796941
LBN Legal business name Wallace Vascular, Llc.
DBA Doing business as
Authorized official Wallace, Justin Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2022
Last updated Aug 22nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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