Individual
JENNIFER D WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-3278
(508) 334-7284
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
204879
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110001141A
—
MA
01
—
204879
TUFTS HEALTH PLAN
MA
01
—
J23088
BCBS MA
MA
Enumeration date
11/03/2005
Last updated
11/16/2020
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