Individual
DR. GREGORY C WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 ISHAM RD, SUITE 150, WEST HARTFORD, CT 06107-2204
(860) 527-1669
(860) 293-0783
Mailing address
30 JORDAN LN, WETHERSFIELD, CT 06109-1278
(860) 263-0253
(860) 263-0262
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
021042
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010021042CT01
BCBS
CT
05
—
1210426
—
CT
Enumeration date
12/05/2005
Last updated
05/24/2011
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