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Individual

BARRY F WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
15R HARTFORD AVE, SUITE 2A, GRANBY, CT 06035-2308
(860) 844-0444
(860) 844-8525
Mailing address
15R HARTFORD AVE, SUITE 2A, GRANBY, CT 06035-2308
(860) 844-0444
(860) 844-8525

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CT 000695
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050000695CT07
ANTHEM BCBS
CT
01
3095662
AETNA
Enumeration date
09/26/2006
Last updated
08/21/2014
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