Individual
JOHN JAMES WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD-PHD
Contact information
Practice address
56 FRANKLIN ST STE 1, WATERBURY, CT 06706-1281
(203) 709-6000
Mailing address
670 ELLSWORTH AVE, NEW HAVEN, CT 06511-1636
(941) 538-8091
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
06-0646844
CT
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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