Doctor Name: | DR. JOSEPH J WALLIS |
NPI Number: | 1285672154 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 25MB02488400 |
Business Practice Address: | 600 Mount Pleasant Ave Suite G Dover, NJ - 078011629 |
Business Phone Number: | 9739899000 |
Business Fax Number: | 9739898225 |
Mailing Address: | 600 Mount Pleasant Ave, Suite G DOVER |
State: | NJ |
Postal Code: | 078011629 |
Phone Number: | 9739899000 |
Fax Number: | 9739898225 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 01/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 25MB02488400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |