Individual
THOMAS H WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
145 LIBERTY ST, PAWCATUCK, CT 06379-1538
(860) 599-4555
(860) 599-1394
Mailing address
145 LIBERTY ST, PAWCATUCK, CT 06379-1538
(860) 599-4555
(860) 599-1394
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
DPM00211
RI
213E00000X
Podiatrist
Primary
P00337
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059393001
DMERC
CT
05
—
4061347
—
CT
Enumeration date
04/21/2006
Last updated
04/04/2011
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