Individual
ELLIOT WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
25IA13097500
NJ
2086S0102X
Surgical Critical Care Physician
Primary
MD486109
PA
2086S0127X
Trauma Surgery Physician
Primary
MD486109
PA
Other
Enumeration date
04/16/2014
Last updated
06/18/2026
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