Individual
DR. WALTER HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
255 S 17TH ST, SUITE 1002, PHILADELPHIA, PA 19103-6231
(215) 545-5001
(215) 545-5763
Mailing address
2000 HAMILTON ST, RODIN PLACE SUITE 306, PHILADELPHIA, PA 19130-3814
(215) 545-5001
(215) 545-5763
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD039446E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1110571
—
PA
Enumeration date
12/29/2006
Last updated
09/14/2016
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