Individual
JAMES P. WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1215 FARMINGTON AVE, BRISTOL, CT 06010
(860) 516-5931
Mailing address
1290 SILAS DEANE HWY, HHC CVO ENROLLMENT, WETHERSFIELD, CT 06109-4337
(860) 972-6970
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
033883
CT
207Q00000X
Family Medicine Physician
Primary
33883
CT
208D00000X
General Practice Physician
033883
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008014000
—
CT
Enumeration date
02/15/2006
Last updated
09/16/2019
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