Individual
DANIEL WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Mailing address
71 HAYNES ST, MANCHESTER, CT 06040-4131
(860) 646-1222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001727
CT
Other
Enumeration date
02/27/2006
Last updated
07/08/2007
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