Individual provider · Type 1 NPI

Walter E. Bantom Iii, MD

Internal Medicine Physician · Philadelphia, PA

NPI number 1194741710 Active

Practice location

5615 W Girard Ave
Philadelphia, PA 19131-4128

Call (215) 477-5800 Map

Fax (215) 879-8447

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XMD04394E (PA)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1194741710

Walter E. Bantom Iii, MD's National Provider Identifier is 1194741710, issued on Jul 15, 2006. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Philadelphia, PA. The record was last updated on Oct 1, 2026.