National Provider Identifier Database

MICHAEL WALLACH, MD – NPI #1841261591
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Contact Information

MICHAEL WALLACH, MD
20 CATAMORE BLVD
EAST PROVIDENCE, RI  02914
Phone: 401-432-2520
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for MICHAEL WALLACH

NPI Number 1841261591
Credentials MD
Entity Individual
Enumeration date 01/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • RI License #: 7329
  • Other: W&I PILGRIM 240161
  • Other: 004389 BLUE CHIP
  • Other: 007329 BLUE SHIELD
  • Other: 7329 FEP BLUE CROSS
  • Other: 3207765 HEALTHY START
  • Other: 3207765 MASS MEDICAID
  • Other: 000000001988 NHPRI
  • Other: 7000630 RI MEDICAL ASSISTANCE
  • Other: 240161 RIH PILGRIM
  • Other: 007329 TUFTS
  • Other: 1600203 UNITED HEALTH PLANS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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