Individual
DR. JACK I JALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-9170
Mailing address
909 WALNUT ST FL 2, PHILADELPHIA, PA 19107-5211
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
25MA06897900
NJ
207T00000X
Neurological Surgery Physician
C1-0013235
DE
207T00000X
Neurological Surgery Physician
Primary
MD048313L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001634580
—
PA
05
—
7226608
—
NJ
Enumeration date
10/12/2005
Last updated
03/12/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us