Individual
DAWN D. WALDEN-EL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
80 SEYMOUR STREET, HARTFOR HOSPITAL MEDICINE DEPT, HARTFORD, CT 06102-5037
(860) 545-5176
Mailing address
PO BOX 415933, HARTFORD HOSPITAL PROFESSIONAL SERVICES, BOSTON, MA 02241-5933
(860) 545-7602
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
000878
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003008786
—
CT
01
—
P00335095
RAILROAD
—
Enumeration date
02/14/2006
Last updated
11/12/2010
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