Individual
WALTER M RALPH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 901-6901
Mailing address
1650 GRAND CONCOURSE, BRONX, NY 10457-7606
(718) 518-5033
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
223414
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02348552
—
NY
01
—
6M8142
BCBS
NY
01
—
P2686068
OXFORD
NY
Enumeration date
02/28/2006
Last updated
04/09/2015
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