Gary S Wallach Dpm PA

NPI #1013020924 in Ft Lauderdale, Florida

Provider Information

NPI Number: 1013020924
Entity Type: Organization
Organization Name: Gary S Wallach Dpm PA
Primary Specialty: Podiatrist - Foot Surgery
Enumeration Date: Aug 16, 2006
Last Updated: Jan 16, 2013

Practice Location

Address: 2737 E OAKLAND PARK BLVD
City: Ft Lauderdale
State: Florida
ZIP Code: 33306-1641
Phone: (954) 561-3338

Authorized Official

Name: DR. GARY S WALLACH, D.P.M.
Title: PRESIDENT
Phone: (954) 561-3338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X	Primary

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