Robert S. Wallis, M.D.
Infectious Disease · Old Lyme, CT
UnclaimedM.D.NPI 1154555738
- Primary taxonomy
- 207RI0200X
- Enumerated
- 2009-05-11
- Practice location
- Old Lyme, CT
- Last NPPES update
- 2021-08-10
State licenses
- CT · Physician · NPPES self-reportedListed on NPI record
- DC · Physician · NPPES self-reportedListed on NPI record
- NJ · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.