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Contact Information

ROBERT B WALLACE, RD
4494 PALMER RD N
BETHESDA, MD20814
 Phone: 301-400-0586
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ROBERT B WALLACE · (Male)

NPI # 1053018366
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 02/08/2023
Last updated 12/12/2025 - About 6 months ago
Sole proprietor 1 No
Identifiers
  • License # 86376928
Hospital affiliation(s) Not Available
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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