Walden, Peter G

Walden, Peter G is an individual health care provider with primary practice located at 366 Colt Hwy , Farmington CT 06032-2547. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Walden, Peter G can be contacted via phone (860) 409-0449.

Contact Information

Primary practice address
366 Colt Hwy Farmington CT 06032-2547
Phone: (860) 409-0449
Fax: (860) 409-0551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 025502 Connecticut

Profile Details

NPI number 1346247624
LBN Legal business name Walden, Peter G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Apr 11th, 2012 - about 13 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 1346247624 NPPES
Connecticut MEDICAID 1255025

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