Individual
DR. CHERYL ASHVILLE WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 125, HARTFORD, CT 06106-5501
(860) 696-0090
(860) 696-0095
Mailing address
85 SEYMOUR ST, SUITE 125, HARTFORD, CT 06106-5501
(860) 696-0090
(860) 696-0095
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030738
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669400891
NPI
—
Enumeration date
06/28/2006
Last updated
11/26/2014
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