Individual provider · Type 1 NPI

John M. Wallis, MD

Cardiovascular Disease Physician · Philadelphia, PA

NPI number 1639734569 Active

Practice location

833 Chestnut St Ste 220
Philadelphia, PA 19107-4405

Call (215) 955-8465 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XMT218139 (PA)
Cardiovascular Disease Physician Primary 207RC0000XMD475460 (PA)

Cardiovascular Disease Physician: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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About NPI 1639734569

John M. Wallis, MD's National Provider Identifier is 1639734569, issued on May 6, 2019. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 2, 2026.