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

Paul Wallace, MD

Individual provider Internal Medicine Physician · NPI 1639287212

Paul Wallace, MD is an Internal Medicine in Philadelphia, Pennsylvania. Graduated from University of California, San Francisco School of Medicine in 1997, 29 years ago. Accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
29
Trained at
University of California, San Francisco School of Medicine
Licensed in
PA
In the registry since
2006
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

7806 Cresheim Rd
Philadelphia, PA 19118-4003
Phone: (215) 930-6630
Fax: (866) 404-2729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD458894 (PA)

Record details

NPI number1639287212
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESAugust 23, 2022
Certification dateAugust 23, 2022

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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