Dr MARIA S AVILA WALLACE is a female medical professional, specializing in Nurse Practitioner. She graduated in 2005.
THE GENERAL HOSPITAL CORPORATION
102 ENDICOTT ST
DANVERS
MA
019233623
Tel: 9788826100
| Npi | 1649460866 |
| Pac Id | 8921167248 |
| Professional Enrollment Id | I20081031000263 |
| Last Name | AVILA WALLACE |
| First Name | MARIA |
| Middle Name | S |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | THE GENERAL HOSPITAL CORPORATION |
| Group Practice Pac Id | 6507803806 |
| Number Of Group Practice Members | 867 |
| Line 1 Street Address | 102 ENDICOTT ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DANVERS |
| State | MA |
| Zip Code | 019233623 |
| Phone Number | 9788826100 |
| Hospital Affiliation Ccn 1 | 220071 |
| Hospital Affiliation Lbn 1 | MASSACHUSETTS GENERAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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