MAX JOSEPH WALLACK NPI 1043839814

NPI Information

NPI: 1043839814
Provider Name: MAX JOSEPH WALLACK
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
330 MOUNT AUBURN ST
CAMBRIDGE, MA
ZIP 02138
Phone: (617) 492-3500
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Max Joseph Wallack is a student in an organized health care education training program in Cambridge, MA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Max Joseph Wallack NPI is 1043839814. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

330 MOUNT AUBURN ST
CAMBRIDGE, MA
ZIP 02138-502
Phone: (617) 492-3500

The enumeration date for this NPI number is 4/13/2020 and was last updated on 4/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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