Individual
MR. CRAIG WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
28 CRESCENT STREET, MIDDLESEX HOSPITAL, MIDDLETOWN, CT 06457
(860) 344-6293
(860) 344-6071
Mailing address
PO BOX 931, 330 SOUTH MAIN STREET, MIDDLETOWN, CT 06457
(860) 346-8481
(860) 346-8836
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
029711
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004000378
—
CT
Enumeration date
07/10/2006
Last updated
07/29/2011
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