Albert J Wacha
Primary Podiatric Medicine
31 Smull Ave
Caldwell
, New Jersey 07006-5011
Albert J Wacha
Primary Podiatric Medicine
31 Smull Ave
Caldwell
, New Jersey 07006-5011
(973) 226-7529
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About
Features
Specialties
- Primary Podiatric Medicine
Languages spoken
- English
Location
First Address
- Albert J Wacha
- 31 Smull Ave
- Caldwell, NJ
- Zip : 07006-5011
- Fax : (973) 226-7529
- Phone : (973) 226-4848
Second Address
- Albert J Wacha
- 31 Smull Ave
- Caldwell, NJ
- Zip : 07006-5011
- Fax : (973) 226-7529
- Phone : (973) 226-4848
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213EP1101X | Primary Podiatric Medicine | 25MD00116900 | NJ |
National Provider Identifier
| NPI | 1407954324 |
|---|---|
| Provider Name | Albert J Wacha |
| First Address | Caldwell, NJ 07006-5011 |
| Second Address | Caldwell, NJ 07006-5011 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2006 |
| Last Update Date | 17/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| T44741 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.