Individual
DR. STEPHEN R WALSH
Active
Individual
DR. STEPHEN R WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MDCM
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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