Organization
G. WALSH & M. COLLITON MD'S
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY C WALSH MD (PARTNER)
(860) 527-1669
Entity
Organization
Contact information
Practice address
19 WOODLAND ST, SUITE 45, HARTFORD, CT 06105-2372
(860) 527-1669
(860) 293-0783
Mailing address
19 WOODLAND ST, SUITE 45, HARTFORD, CT 06105-2372
(860) 527-1669
(860) 293-0783
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021042
LICENSE
CT
01
—
029475
LICENSE
CT
01
—
1063496883
NPI#
—
01
—
1609853126
NPI #
—
Enumeration date
05/23/2007
Last updated
11/11/2009
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