Individual
WALTER CHARLES ALLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 SCIENCE PARK RD, SCARBOROUGH, ME 04074-7169
(207) 883-4131
(207) 885-0807
Mailing address
PO BOX 190, SCARBOROUGH, ME 04070-0190
(207) 883-4131
(207) 885-0807
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
009434
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037355
ANTHEM PIN
ME
05
—
237370000
—
ME
05
—
30201168
—
NH
01
—
3734857003
CIGNA PIN
ME
Enumeration date
01/31/2007
Last updated
09/01/2009
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