George F. Wallace in Newark - Foot & Ankle Surgery

George F. Wallace - NPI 1811001696

George F. Wallace is a Foot & Ankle Surgery in Newark, New Jersey. George F. Wallace practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for George F. Wallace is 1811001696. The last update date is 2009-08-26.

George F. Wallace's current location address is 90 Bergen St, Newark, New Jersey. You can contact this provider via phone number 9739722500 and fax number 9739722510. The mailing address for George F. Wallace is 90 Bergen St, Newark, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name George F. Wallace
Address 90 Bergen St, Newark, New Jersey
Phone Number 9739722500
Fax Number 9739722510
Sole Proprietor N
Credentials D.P.M.

NPI Number Detail

NPI Number 1811001696
Provider Enumeration Date 2006-08-18
Last Updated Date 2009-08-26

Provider Mailing Address Detail

Address 90 Bergen St
City Newark
State New Jersey (NJ)
Post Code 71032425
Phone Number 9739722500
Fax Number 9739722510

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 25MD00137200
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1567101 NJ --

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FAQs about George F. Wallace

What is the unique 10-digit identifier code issued to George F. Wallace by the Centers for Medicare & Medicaid Services?

The George F. Wallace has been assigned the NPI (National Provider Identifier) 1811001696 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of George F. Wallace?

The George F. Wallace is physically situated at 90 Bergen St, in the city of Newark, state of NJ, with the postal code 71032425.

What is George F. Wallace's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for George F. Wallace is Foot & Ankle Surgery, and the taxonomy classification code that categorizes this area of expertise is 213Es0103X.

When did George F. Wallace receive its 1811001696 assignment?

The George F. Wallace was assigned its 1811001696 on 2006-08-18, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to George F. Wallace most recently updated or revised?

The details related to George F. Wallace, including its address, specialty, and other relevant information, were last updated or revised on 2009-08-26.

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