Individual provider · Type 1 NPI

Jack I. Jallo, MD

Neurological Surgery Physician · Philadelphia, PA

NPI number 1720076706 Active

Practice location

909 Walnut St, 2nd Floor
Philadelphia, PA 19107-5211

Fax (215) 503-9170

Mailing address

909 Walnut St Fl 2
Philadelphia, PA 19107-5211

Other practice locations

  • 3 Crescent Dr Fl 3, Philadelphia, PA 19112-1016 · (215) 503-3321
  • 445 Hurffville Crosskeys Rd Ste B16, Sewell, NJ 08080-2351 · (856) 256-7591
  • 443 Laurel Oak Rd Ste 130, Voorhees, NJ 08043-4419 · (856) 741-0122

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000XC1-0013235 (DE)
Neurological Surgery Physician Primary 207T00000XMD048313L (PA)
Neurological Surgery Physician 207T00000X25MA06897900 (NJ)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1720076706

Jack I. Jallo, MD's National Provider Identifier is 1720076706, issued on Oct 12, 2005. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 12, 2026.