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Max Lee Wallace Jr., M.D.

Diagnostic Radiology Physician in New Britain, CT · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588624282

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Registry record

Entity type Individual (Type 1)
Name Max Lee Wallace Jr.
Credential M.D.
Sex Male
Practice address 40 Hart St, Suite B1, New Britain, CT, 06052
Phone (860) 229-2059
Fax (860) 229-8495
Enumeration date Mar 25, 2006
Last updated in NPPES May 20, 2008

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 023301 (CT) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
300117749 Other CT RAILROAD MEDICARE
010023301CT13 Other CT ANTHEM BC/BS
001233014 Medicaid CT -
010026126CT12 Other CT ANTHEM BC/BS
010026126CT03 Other CT ANTHEM BC/BS
010026126CT14 Other CT ANTHEM BC/BS
1588624282 Medicaid CT -
010026126CT04 Other CT ANTHEM BC/BS
010026126CT07 Other CT ANTHEM BC/BS
300023202 Other CT RAILROAD MEDICARE
300106345 Other CT RAILROAD MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Max Wallace?
The National Provider Identifier (NPI) for Max Wallace is 1588624282, a Type 1 (individual) record in the CMS NPPES registry.
Where does Max Wallace practice?
The practice location on file with NPPES is in New Britain, CT. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-20.