Assoc. of Maple Podiatry,pa

NPI #1972540854 in Merchantville, New Jersey

Provider Information

NPI Number: 1972540854
Entity Type: Organization
Organization Name: Assoc. of Maple Podiatry,pa
Primary Specialty: Podiatrist
Enumeration Date: Jun 1, 2006
Last Updated: Jul 1, 2009

Practice Location

Address: 702 W MAPLE AVE
City: Merchantville
State: New Jersey
ZIP Code: 08109-1822
Phone: (856) 665-1180

Authorized Official

Name: DR. JOHN A WALLACE, DPM
Title: OWNER
Phone: (856) 665-1180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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