Individual
DR. CHARLES G WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15 VAUGHAN ST, LAKEVILLE, MA 02347-1638
(774) 213-5105
(774) 213-5105
Mailing address
15 VAUGHAN ST, LAKEVILLE, MA 02347-1638
(774) 213-5105
(774) 213-5105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
151536
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3160530
—
MA
Enumeration date
09/25/2006
Last updated
09/28/2007
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