Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Wallace Llera, MD

Individual provider Adult Medicine Physician · NPI 1013990332

Dr. Wallace Llera, MD is an Adult Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2005.

Licensed in
PA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

401-55 W Allegheny Ave
Philadelphia, PA 19133-3644
Phone: (215) 291-2500
Fax: (215) 291-2587
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Medicine Physician (primary) Taxonomy 207QA0505X · Licence MD038236L (PA)

Record details

NPI number1013990332
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2005
Last updated in NPPESJune 7, 2011

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