Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Eliot M Wallack, MD

Individual provider Neurology Physician · NPI 1750385449

Eliot M Wallack, MD is a Neurology in Philadelphia, Pennsylvania. Graduated from University of Maryland School of Medicine in 1972, 54 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
54
Trained at
University of Maryland School of Medicine
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

1840 S St Tuttleman Bldg
Philadelphia, PA 19146-7411
Phone: (215) 893-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence MD431377 (PA)

Record details

NPI number1750385449
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESFebruary 10, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolUNIVERSITY OF MARYLAND SCHOOL OF MEDICINE
Graduated 1972 (54 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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