Peter M Wallach (NPI# 1710987391, PAC ID# 6901790757) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
Nation Provider ID (NPI) | 1710987391 |
PAC ID by PECOS | 6901790757 |
Professional Enrollment ID | I20101119001168 |
Full Name | Peter M Wallach |
Organization Legal Name | CENTER FOR DERMATOLOGY PA |
Address |
1379 Lyons Rd Coconut Creek FL 33063-3908 |
Phone Number | 9549754010 |
Gender | M |
Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
Graduation Year | 1973 |
Primary Specialty | DERMATOLOGY |
Group Practice PAC ID | 1759275597 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1379 Lyons Rd, Coconut Creek, FL 33063-3908 | 9549754010 | CENTER FOR DERMATOLOGY PA |
1379 Lyons Rd, Coconut Creek, FL 33063-3908 | SKIN AND CANCER ASSOCIATES | |
1480 N University Dr, Coral Spgs, FL 33071-6040 | 9547531030 | CENTER FOR DERMATOLOGY PA |
1480 N University Dr, Coral Spgs, FL 33071-6040 | SKIN AND CANCER ASSOCIATES | |
1460 N University Dr, Coral Springs, FL 33071-6040 | 9547527552 | SKIN AND CANCER ASSOCIATES |
201 Nw 82nd Ave, Plantation, FL 33324-7808 | SKIN AND CANCER ASSOCIATES |
Organization Legal Name | CENTER FOR DERMATOLOGY PA |
Physicians | 6 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian C Machler | Dermatology | Center for Dermatology Pa | 128 Columbia Tpke, Suite 200, Florham Park, NJ 07932-2283 |
Colette L Caputo | Physician Assistant | Center for Dermatology Pa | 1480 N University Dr, Coral Spgs, FL 33071-6040 |
Robert J Zabel | Dermatology | Center for Dermatology Pa | 20520 Keokuk Ave, Suite 104, Lakeville, MN 55044-6002 |
Lauren A Vitolo | Physician Assistant | Center for Dermatology Pa | 128 Columbia Tpke, Suite 200, Florham Park, NJ 07932-2283 |
Joanne M Ostman | Physician Assistant | Center for Dermatology Pa | 20520 Keokuk Ave, Suite 104, Lakeville, MN 55044-6002 |
Street Address |
1379 LYONS RD |
City | COCONUT CREEK |
State | FL |
Zip | 33063-3908 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donghua Xie | Urology | 5605 Nw 29th St, Margate, FL 33063-1531 | |
Norma I Barbosa Rivera | Internal Medicine | Continucare Medical Management Inc | 5643 Nw 29th St, Margate, FL 33063-1531 |
Lee J Phillips | Diagnostic Radiology | Cardio Nuclear Diagnostics | 5667 Coral Gate Blvd, Margate, FL 33063-1531 |
Carlos A Corrales | Internal Medicine | 5661 Nw29th St, Margate, FL 33063-1531 | |
David S Robinson | General Surgery | Advanced General Surgery Pa | 5651 Nw29th St, Margate, FL 33063-1531 |
Marcia C Sasso | Chiropractic | 5663 Nw 29th St, Margate, FL 33063-1531 | |
Sandra Castro-urganus | Internal Medicine | Continucare Medical Management Inc | 5643 Nw 29th St, Margate, FL 33063-1531 |
Indrek Miidla | General Surgery | Advanced General Surgery Pa | 5651 Nw29th St, Margate, FL 33063-1531 |
Ross J Schwarz | Internal Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
Barbara Martin | Internal Medicine | Rma Medical Centers of Florida LLC | 1316 N State Rd, Suite 7, Margate, FL 33063-2843 |
Find all physicians in zip 33063 |
City | COCONUT CREEK |
Zip Code | 33063 |
Specialty | DERMATOLOGY |
City + Specialty | COCONUT CREEK + DERMATOLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.