Walden, James P.

Walden, James P. is an individual health care provider with primary practice located at 1215 Farmington Ave , Bristol CT 06010. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Walden, James P. can be contacted via phone (860) 516-5931.

Contact Information

Primary practice address
1215 Farmington Ave Bristol CT 06010
Phone: (860) 516-5931
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 033883 Connecticut
Allopathic & Osteopathic Physicians / General Practice 208D00000X 033883 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33883 Connecticut

Profile Details

NPI number 1992779912
LBN Legal business name Walden, James P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Sep 16th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992779912 NPPES
Connecticut MEDICAID 008014000

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