Dr. Charles Thomas Wallack, DPM
Dr. Charles Thomas Wallack, DPM is a Podiatry in Lincoln Park, New Jersey. Graduated from Temple University School of Podiatric Medicine in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New Jersey.
- Years since qualifying
- 44
- Trained at
- Temple University School of Podiatric Medicine
- Licensed in
- NJ
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
10 Chapel Hill RdLincoln Park, NJ 07035-1719
Phone: (973) 694-5632
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Podiatrist (primary) | Taxonomy 213E00000X · Licence 25MD00140200 (NJ) |
|---|---|
| Foot Surgery Podiatrist | Taxonomy 213ES0131X · Licence 25MD00140200 (NJ) |
Record details
| NPI number | 1265404198 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | Yes |
| NPI enumerated | February 4, 2006 |
| Last updated in NPPES | January 14, 2010 |
| Mailing address | 10 Chapel Hill Rd, Lincoln Park, NJ 07035-1719 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | TEMPLE UNIVERSITY SCHOOL OF PODIATRIC MEDICINE |
| Graduated | 1982 (44 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |