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Organization
THOMAS H. WALTER DPM, INC.
Active
Organization
THOMAS H. WALTER DPM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS WALTER DPM (PODIATRIST/OWNER)
(860) 599-4555
Entity
Organization
Contact information
Practice address
145 LIBERTY ST, PAWCATUCK, CT 06379-1538
(860) 599-4555
(860) 599-1394
Mailing address
145 LIBERTY ST, PAWCATUCK, CT 06379-1538
(860) 599-4555
(860) 599-1394
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
13126
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01464
MC GROUP NUMBER
CT
Enumeration date
08/01/2007
Last updated
01/19/2020
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