Individual
ELLIOT WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5189
(215) 707-3133
(215) 707-3945
Mailing address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-2433
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
MD486109
PA
2086S0127X
Trauma Surgery Physician
Primary
MD486109
PA
Other
Enumeration date
04/16/2014
Last updated
04/01/2026
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