Individual
DR. SUSAN W WALKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 BREWSTER ST, DEPARTMENT OF ANESTHESIA, PAWTUCKET, RI 02860-4400
(401) 726-7300
(401) 726-7330
Mailing address
200 MAIN ST, SUITE 350, PAWTUCKET, RI 02860-4119
(401) 726-7300
(401) 726-7330
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD08744
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2378
NEIGHBORHOOD HEALTH PLAN
RI
01
—
2696
HARVARD PILGRAM HEALTHCAR
RI
01
—
3203867
MASSACHUSETTS MEDICAID
RI
01
—
401168
BLUECHIP
RI
01
—
403920
TUFTS HEALTH PLAN
RI
05
—
7004199
—
RI
Enumeration date
08/24/2005
Last updated
07/08/2007
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