Individual
DR. LOREN DAVID WALENSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
44 BINNEY STREET, DANA FARBER CANCER INSTITUTE DANA 3 JIMMY FUND CLINIC, BOSTON, MA 02115
(617) 632-6794
(617) 632-3310
Mailing address
44 BINNEY STREET, D322A DANA FARBER CANCER INSTITUTE, BOSTON, MA 02115
(617) 632-6307
(617) 632-6401
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
204839
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029367
BMC HEALTHNET
—
01
—
1160345
FALLON COMMUNITY HEALTH
—
05
—
2000971
—
MA
01
—
204839
TUFTS
—
01
—
206434
HPHC
—
01
—
7493680
CIGNA
—
01
—
J25849
BLUE CROSS BLUE SHIELD OF
MA
Enumeration date
07/03/2006
Last updated
07/09/2007
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