Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN A. WALLACE, DPM
Active Sole ProprietorJOHN A. WALLACE, DPM is a Radiology Podiatrist healthcare provider located in MERCHANTVILLE, New Jersey. NPI 1861426462 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · MERCHANTVILLE, NJ
Registration Details
- NPI Number
- 1861426462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 10, 2006 (20.082841317041 yrs)
- Last Updated
- Jul 8, 2007
- License
-
MD00151900 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
702 W MAPLE AVEMERCHANTVILLE, NJ, 081091822Browse NJ providers · Browse ZIP 08109
- Phone
- 8566651180
- Fax
- 8566655537
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.