Dr. Charles T Wallack, DPM
Podiatrist in Lincoln Park, New Jersey
1265404198- Practice location
- 10 Chapel Hill RD, Lincoln Park, NJ 07035-1719
- Phone
- 973-694-5632
- Fax
- —
- Last updated
- January 14, 2010
Charles Thomas Wallack is a Podiatrist based in Lincoln Park, NJ. 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 (NJ). The current practice location address for Charles Thomas Wallack is 10 Chapel Hill RD, Lincoln Park, NJ 07035-1719 and can be reached out via phone at 973-694-5632.
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
- Primary Taxonomy
- Podiatrist · 213E00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 4, 2006
- Last Update Date
- January 14, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10 Chapel Hill RD
Lincoln Park, NJ 07035-1719 - City
- Lincoln Park
- State
- New Jersey
- Zip
- 07035-1719
- Phone Number
- 973-694-5632
Provider Business Mailing Address Details
- Address
- 10 Chapel Hill RD
Lincoln Park, NJ 07035-1719 - City
- Lincoln Park
- State
- NJ
- Zip
- 07035-1719
- Phone Number
- 973-694-5632
- Fax Number
- 973-694-1233
License Information
- License Number (1)
- 25MD00140200
- License State (1)
- NJ
- Taxonomy (1)
- Podiatrist · 213E00000X · Primary
- License Number (2)
- 25MD00140200
- License State (2)
- NJ
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Charles T Wallack, DPM?
The NPI number of Dr. Charles T Wallack, DPM is 1265404198. It was assigned on February 4, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Charles T Wallack, DPM?
Dr. Charles T Wallack, DPM is registered under the primary taxonomy Podiatrist (code 213E00000X), licensed in NJ under license number 25MD00140200.
Where does Dr. Charles T Wallack, DPM practice?
The practice location is 10 Chapel Hill RD, Lincoln Park, NJ 07035-1719. The office can be reached at 973-694-5632 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265404198 directly on the NPPES registry website.