GEORGE F. WALLACE

NEWARK, NJ
NPI1811001696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NJ  25MD00137200)
Enumeration Date2006-08-18
Last Update Date2009-08-26
Business Address
-- GEORGE F. WALLACE D.P.M.
90 BERGEN ST DOC 4500
NEWARK, NJ 07103-2425
Phone number: 973-972-2500
Mailing Address
-- GEORGE F. WALLACE D.P.M.
30 BERGEN ST ADMC 12 1205
NEWARK, NJ 07107-3000
Phone number:
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