Individual
ELIOT M WALLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1840 SOUTH ST, TUTTLEMAN BUILDING, PHILADELPHIA, PA 19146-7411
(215) 893-6200
Mailing address
1840 SOUTH ST, TUTTLEMAN BUILDING, PHILADELPHIA, PA 19146-7411
(215) 893-6200
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD431377
PA
Other
Enumeration date
06/09/2005
Last updated
02/10/2016
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