Individual
DR. STEPHEN R WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDCM
Contact information
Practice address
55 FRUIT ST, GRJ 504, INFECTIOUS DISEASE UNIT, BOSTON, MA 02114-2621
(617) 726-3812
(617) 726-7416
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-8881
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
205960
MA
207RI0200X
Infectious Disease Physician
Primary
205960
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128724
—
MA
01
—
205960
TUFTS HEALTH PLAN
MA
01
—
J22966
BCBS MA
MA
Enumeration date
02/07/2006
Last updated
04/03/2018
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