Organization
ATCO FAMILY MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN S WALLACH D.O. (OWNER/PHYSICIAN)
(856) 767-1026
Entity
Organization
Contact information
Practice address
10 GARDENS AVENUE, BERLIN, NJ 08009-2104
(856) 767-1026
(856) 768-9577
Mailing address
10 GARDENS AVENUE, BERLIN, NJ 08009-2104
(856) 767-1026
(856) 768-9577
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB01786500
NJ
207Q00000X
Family Medicine Physician
MB017865
NJ
Other
Enumeration date
03/10/2008
Last updated
09/15/2010
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