Individual
JAMES JOSEPH WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3550 MARKET STREET, 5TH FLOOR, PHILADELPHIA, PA 19104-3364
(215) 590-3000
(215) 590-1205
Mailing address
3550 MARKET STREET, 5TH FLOOR, PHILADELPHIA, PA 19104-3364
(215) 590-3000
(215) 590-1205
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
G84208
CA
208000000X
Pediatrics Physician
Primary
MD438712
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0081923
—
CA
Enumeration date
11/29/2006
Last updated
01/22/2010
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