Whalen, James D

Whalen, James D is an individual health care provider with primary practice located at 1 Willowbrook Rd Ste 2 , Cromwell CT 06416. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Whalen, James D can be contacted via phone (860) 322-2222.

Contact Information

Primary practice address
1 Willowbrook Rd Ste 2 Cromwell CT 06416
Fax: (860) 322-6838
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 033745 Connecticut
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 033745 Connecticut

Profile Details

NPI number 1780681064
LBN Legal business name Whalen, James D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 27th, 2023 - about 2 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 1780681064 NPPES
Connecticut MEDICAID 1337452

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