Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

George F. Wallace, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1811001696

George F. Wallace, DPM is a Foot & Ankle Surgery Podiatrist in Newark, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

90 Bergen St Doc 4500
Newark, NJ 07103-2425
Phone: (973) 972-2500
Fax: (973) 972-2510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 25MD00137200 (NJ)

Record details

NPI number1811001696
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESAugust 26, 2009

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