George F Wallace, DPM
Podiatrist, Foot & Ankle Surgery in Newark, New Jersey
1811001696- Practice location
- 90 Bergen St, Doc 4500, Newark, NJ 07103-2425
- Phone
- 973-972-2500
- Fax
- 973-972-2510
- Last updated
- August 26, 2009
George F. Wallace is a Podiatrist, Foot & Ankle Surgery based in Newark, NJ. George F. Wallace practices in Newark, NJ and has the professional credentials of DPM. The NPI Number for George F. Wallace is 1811001696 and holds a License No. 25MD00137200 (NJ). The current practice location address for George F. Wallace is 90 Bergen St, Doc 4500, Newark, NJ 07103-2425 and can be reached out via phone at 973-972-2500 and via fax at 973-972-2510.
Provider Profile Details
- NPI Number
- 1811001696
- Provider Name
- George F. Wallace
- Credential
- DPM
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Bergen St, Doc 4500, Newark, NJ 07103-2425
- Phone Number
- 973-972-2500
- Fax Number
- 973-972-2510
- Primary Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 18, 2006
- Last Update Date
- August 26, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Bergen St
Doc 4500
Newark, NJ 07103-2425 - City
- Newark
- State
- New Jersey
- Zip
- 07103-2425
- Phone Number
- 973-972-2500
- Fax Number
- 973-972-2510
Provider Business Mailing Address Details
- Address
- 30 Bergen St
Admc 12 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- NJ
- Zip
- 07107-3000
License Information
- License Number
- 25MD00137200
- License State
- NJ
- Taxonomy
- Podiatrist, Foot & Ankle Surgery · 213ES0103X · Primary
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 George F Wallace, DPM?
The NPI number of George F Wallace, DPM is 1811001696. It was assigned on August 18, 2006 and is currently active in the NPPES registry.
What is the specialty of George F Wallace, DPM?
George F Wallace, DPM is registered under the primary taxonomy Podiatrist, Foot & Ankle Surgery (code 213ES0103X), licensed in NJ under license number 25MD00137200.
Where does George F Wallace, DPM practice?
The practice location is 90 Bergen St, Doc 4500, Newark, NJ 07103-2425. The office can be reached at 973-972-2500 (phone) or 973-972-2510 (fax).
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 1811001696 directly on the NPPES registry website.