Walsh, Stephen R
Walsh, Stephen R is an individual health care provider with primary practice located at 55 Fruit St Grj 504, Infectious Disease Unit, Boston MA 02114-2621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Walsh, Stephen R can be contacted via phone (617) 726-3812.Contact Information
Primary practice address
55 Fruit St Grj 504, Infectious Disease Unit
Boston MA 02114-2621
Phone: (617) 726-3812
Fax: (617) 726-7416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 205960 | Massachusetts |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 205960 | Massachusetts |
Profile Details
| NPI number | 1407828098 |
|---|---|
| LBN Legal business name | Walsh, Stephen R |
| Credentials | MDCM |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Apr 3rd, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407828098 | NPPES |
| Massachusetts | Other | J22966 | BCBS MA |
| Massachusetts | Other | 205960 | BCBS MA |
| Massachusetts | MEDICAID | 0128724 | BCBS MA |
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