1962653576

Everything you always wanted to know about LEBOWITZ BERNARD WALLACE M.D. but were afraid to ask.

LEBOWITZ BERNARD WALLACE M.D.

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Provider Last Name Provider Middle Name Provider First Name Provider Credential
LEBOWITZ BERNARD WALLACE M.D.
Gender:
Male
Enumeration date:
2008-10-02
Last update date:
2008-10-02
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine CT 010818 Y
207RC0000X Cardiovascular Disease CT 010818 N

Phone Numbers

Type Number
Mailing Address Telephone Number 2032561798
Practice Location Address Telephone Number 2032561798
Mailing Address Fax Number 2032569801
Practice Location Address Fax Number 2032569801

Addresses

Type Address City State Postal Country
Mailing Address 1699 FAIRFIELD BEACH RD FAIRFIELD CT 6824 CT
Practice Location Address 1699 FAIRFIELD BEACH RD FAIRFIELD CT 6824 CT