DR. CHARLES WALLACK, D.P.M.
Podiatrist
Active
Individual
NPI: 1265404198
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Podiatrist | 213E00000X | Yes | 25MD00140200 (NJ) |
| Podiatrist - Foot Surgery | 213ES0131X | No | 25MD00140200 (NJ) |
Frequently Asked Questions
NPI 1265404198 is the National Provider Identifier for DR. CHARLES WALLACK, D.P.M., a Podiatrist provider located in Lincoln Park, NJ. This NPI was enumerated on February 4, 2006.
DR. CHARLES WALLACK, D.P.M. practices at 10 CHAPEL HILL RD, Lincoln Park, NJ 07035.
Quick Facts
- NPI
- 1265404198
- Type
- Individual
- Enumerated
- Feb 4, 2006
- Last Updated
- Jan 14, 2010
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