Search › New Jersey › 213EP1101X
John Wallace, DPM
NPI 1861426462 · on the registry since 2006 · sole proprietor
Practice
- Address
- 702 W Maple Ave
Merchantville, NJ 08109 - Phone
- (856) 665-1180
- Fax
- (856) 665-5537
- Organisation at this address
- Assoc. Of Maple Podiatry,Pa
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 213EP1101X
213EP1101X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey