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Individual

DR. DAVID SELLERS WALTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8 HAWTHORNE PLACE, SUITE 110, BOSTON, MA 02114
(617) 227-3011
(617) 227-3011
Mailing address
8 HAWTHORNE PLACE, SUITE 110, BOSTON, MA 02114
(617) 227-3011
(617) 227-9538

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
56943
MA
207W00000X
Ophthalmology Physician
Primary
MA56943
MA
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MA56943
MA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
569453
MA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
MA56943
MA
208000000X
Pediatrics Physician
56943
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0190977
MA
01
700954
TUFTS HEALTH PLAN
MA
01
M07105
BCBS MA
MA
Enumeration date
02/22/2006
Last updated
06/05/2022
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