Individual
JOSEPH W WALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-5020
(978) 630-5029
Mailing address
242 GREEN ST, GARDNER, MA 01440-1336
(978) 630-5020
(978) 630-5029
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
71291
MA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
71291
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110049110A
—
MA
Enumeration date
09/12/2005
Last updated
02/18/2015
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