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Dr. Charles Thomas Wallack, DPM
Foot Surgery Podiatrist in Lincoln Park, New Jersey
NPI 1265404198

Charles Thomas Wallack is a Foot Surgery Podiatrist based in Lincoln Park, NJ and is specialized in Foot Surgery. Charles Thomas Wallack practices in Lincoln Park, NJ and has the professional credentials of DPM. The NPI Number for Charles Thomas Wallack is 1265404198 and holds a License No. 25MD00140200 (New Jersey).

The current practice location address for Charles Thomas Wallack is 10 Chapel Hill Rd, Lincoln Park, NJ and can be reached out via phone at 973-694-5632.

Location: 10 Chapel Hill Rd, Lincoln Park, NJ, 07035-1719
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265404198
Provider Name
Charles Thomas Wallack
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
10 Chapel Hill Rd, Lincoln Park, NJ, 07035-1719
Phone Number
973-694-5632
Fax Number
Provider Enumeration Date
02/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0103711000 01 NJ AMERIHEALTH
1376004-01 05 NJ
P3601404 01 NJ OXFORD
institution
Provider Business Practice Location Address Details
Address
10 Chapel Hill Rd
City
Lincoln Park
State
New Jersey
Zip
07035-1719
Phone Number
973-694-5632
Fax Number
person
Provider Business Mailing Address Details
Address
10 Chapel Hill Rd
City
Lincoln Park
State
New Jersey
Zip
07035-1719
Phone Number
973-694-5632
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
25MD00140200 (New Jersey)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
213ES0131X
License No.
25MD00140200 (New Jersey)
Definition
Definition to come...
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