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Individual

DR. NATHAN COLLINS WALK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
28 CRESCENT ST, MIDDLESEX HOSPITAL, MIDDLETOWN, CT 06457-3654
(860) 358-6175
Mailing address
28 CRESCENT ST, MIDDLESEX HOSPITAL, MIDDLETOWN, CT 06457-3654
(860) 358-6175

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
046122
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
046122
CONNECTICARE
01
0840375
CIGNA
05
1073699427
CT
01
9845187
AETNA
Enumeration date
10/28/2006
Last updated
10/14/2008
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