Individual
DR. VIRGINIA L. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2175
(413) 582-2954
Mailing address
291 MOODY ST, LUDLOW, MA 01056-1246
(866) 390-1815
(770) 666-9450
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
55152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110043667A
—
MA
01
—
114330
BOSTON MEDICAL CENTER HEALTHNET
MA
01
—
155152
CONNECTICARE
MA
01
—
1720054893
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA
01
—
4260599
AETNA
MA
01
—
51122
HEALTH NEW ENGLAND
MA
01
—
762995
TUFTS HEALTH PLAN
MA
01
—
8095528
CIGNA
MA
01
—
AA204044
HARVARD PILGRIM HEALTH PLAN
MA
Enumeration date
02/27/2006
Last updated
05/18/2011
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