Mr Cory Wallace, RN, BSN - Registered Nurse in Somerset, NJ

Mr Cory Wallace, RN, BSN is a Registered Nurse - General Practice based in Somerset, New Jersey. Mr Cory Wallace is licensed to practice in New Jersey (license number 26NR20435100) and his current practice location is 30 Ulysses Rd, Somerset, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 462-8797.

NPI number for Mr Cory Wallace is 1255066411 and his current mailing address is 30 Ulysses Rd, Somerset, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255066411.

Contact Information

Mr Cory Wallace, RN, BSN
30 Ulysses Rd,
Somerset, NJ 08873-1049
(973) 462-8797
Not Available

Map and Direction




Provider's Profile

Full NameMr Cory Wallace
GenderMale
SpecialityRegistered Nurse - General Practice
Location30 Ulysses Rd, Somerset, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255066411
  • Provider Enumeration Date: 07/21/2022
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Mr Cory Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255066411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 26NR20435100 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Cory Wallace is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Cory Wallace, RN, BSN
30 Ulysses Rd,
Somerset, NJ 08873-1049

Ph: (973) 462-8797
Mr Cory Wallace, RN, BSN
30 Ulysses Rd,
Somerset, NJ 08873-1049

Ph: (973) 462-8797

Reviews and Comments


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