DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. WALLACE LLERA, M.D.

Active

Adolescent Medicine · PHILADELPHIA, PA

Registration Details

NPI Number
1013990332
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2005 (20.419360793207 yrs)
Last Updated
Jun 7, 2011
License
MD038236L (PA)

Practice Information

Address
401-55 W ALLEGHENY AVE
PHILADELPHIA, PA, 191333644
Browse PA providers · Browse ZIP 19133
Phone
2152912500
Fax
2152912587
Primary Specialty
Adolescent Medicine
207QA0505X

Other Adolescent Medicine Providers in PHILADELPHIA, PA

Name Credential NPI
DR. HARVEY M. SPECTOR D.O. 1881691541
NESTOR O. MADRINAN M.D. 1013990928
DR. CARMEN FEBO-SAN MIGUEL M.D. 1922081819
RONDA G KARP D.O. 1922086768
DR. AMY JILL ORLOFF-FINE DO 1447229182
NIKKI LANG M.D 1588633804
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.