| George F Wallace, DPM | |
|
90 Bergen St, Doc 4500, Newark, NJ 07103-2425 | |
| (973) 972-2500 | |
| (973) 972-2510 |
| Full Name | George F Wallace |
|---|---|
| Gender | Male |
| Speciality | Podiatrist - Foot & Ankle Surgery |
| Location | 90 Bergen St, Newark, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811001696 | NPI | - | NPPES |
| 1567101 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | 25MD00137200 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| George F Wallace, DPM 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 Ph: () - | George F Wallace, DPM 90 Bergen St, Doc 4500, Newark, NJ 07103-2425 Ph: (973) 972-2500 |
New Jersey Podiatric Physicians And Surgeons Group, Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 467 Mount Prospect Ave, Newark, NJ 07104 Phone: 973-483-2800 Fax: 973-483-9933 | |
Dr. Vikas S. Bawa, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1060 Broad St, Lower Level Medical Office, Newark, NJ 07102 Phone: 973-642-6500 Fax: 973-741-2700 | |
Medical Foot Care Center, P.c. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 500 Orange St, Suite# 301, Newark, NJ 07107 Phone: 973-485-6799 Fax: 973-485-6711 | |
Omar Shah, Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 973-877-5000 | |
Keith D. Cook, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 140 Bergen St, Level E, Newark, NJ 07103 Phone: 973-972-8320 Fax: 973-972-3162 | |
Patish Dpm Pc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 23 Branford Pl, Newark, NJ 07102 Phone: 973-424-0080 Fax: 973-424-0088 | |
Boltrope Podiatry Llc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 111 Central Ave, Newark, NJ 07102 Phone: 201-445-2288 |