Individual
DR. GUILLERMO ALFREDO WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 HOSPITAL RD, LEOMINSTER, MA 01453-2205
(978) 466-2714
(978) 466-2746
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
74668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110054088A
—
MA
05
—
3121194
—
MA
Enumeration date
10/23/2005
Last updated
06/02/2021
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