WALLACE LLERA

PHILADELPHIA, PA
NPI1013990332
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0505X Family Medicine, Adult Medicine
(Licence: PA  MD038236L)
Enumeration Date2005-11-21
Last Update Date2011-06-07
Business Address
Dr. WALLACE LLERA M.D.
401-55 W ALLEGHENY AVE
PHILADELPHIA, PA 19133-3644
Phone number: 215-291-2500
Mailing Address
Dr. WALLACE LLERA M.D.
1412 FAIRMOUNT AVE
PHILADELPHIA, PA 19130-2908
Phone number: 215-599-4851
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