Individual
CHRISTOPHER C. WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 SUMMER STREET SUITE M201, GUARDIAN ANESTHESIA INC., STOUGHTON, MA 02072
(781) 344-2325
(781) 341-8544
Mailing address
907 SUMMER STREET SUITE M201, GUARDIAN ANESTHESIA INC., STOUGHTON, MA 02072
(781) 344-2325
(781) 341-8544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
257433
MA
207L00000X
Anesthesiology Physician
A80584
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A805840
BLUE SHIELD OF CA
CA
05
—
00A805840
—
CA
Enumeration date
08/13/2006
Last updated
12/30/2013
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