Individual provider · Type 1 NPI
Charles Thomas Wallack, D.P.M.
Podiatrist · Lincoln Park, NJ
Practice location
10 Chapel Hill Rd
Lincoln Park, NJ 07035-1719
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist Primary | 213E00000X | 25MD00140200 (NJ) |
| Foot Surgery Podiatrist | 213ES0131X | 25MD00140200 (NJ) |
Podiatrist: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
About NPI 1265404198
Charles Thomas Wallack, D.P.M.'s National Provider Identifier is 1265404198, issued on Feb 4, 2006. The primary taxonomy on file is Podiatrist (213E00000X), and the practice location is in Lincoln Park, NJ. The record was last updated on Jan 14, 2010.