IndividualActive
Elliot Walters, MD
NPI 1477973592 · Surgical Critical Care Physician · Philadelphia, PA
Provider details
- NPI number
- 1477973592
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD486109 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (215) 707-3133
Fax: (215) 707-3945
Approximate (ZIP-level) locationGet directions
Mailing address
3509 N Broad St
Philadelphia, PA 19140-4105
Additional practice locations (1)
- 801 Ostrum StBethlehem, PA 18015-1000Phone: (866) 785-8537
Registry dates
- Enumerated
- 2014-04-16
- Last updated
- 2026-04-01
- Certified
- 2026-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.