Provider / Organization | NPI | Date Certified |
---|---|---|
DAVID BRUCE WALSHIN | 1679566384 | 2024-07-05 |
David B Walshin [M] graduated in 1989 from State University Of New York Downstate Medical Center and primarily specializes in Physical Medicine And Rehabilitation.
David Bruce Walshin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1679566384. Registration indicates David Bruce Walshin is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Physical Medicine & Rehabilitation (Physical Medicine & Rehabilitation, ) (Specialist Network, ) (Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians)
PECOS ID | 8820157480 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | David Bruce Walshin M.D. |
Practice Office Address | 1425 BEDFORD ST APT 4H STAMFORD, CT US |
Practice Office Telephone | 2033521217 |
Practice Office Fax | 2039020152 |
Mailing Address | 1425 BEDFORD ST APT 4H STAMFORD, CT 069055216 US |
Business Telephone | 2033521217 |
Business Fax | 2039020152 |
Code | Practice | License No State |
---|---|---|
208100000X PRIMARY | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Physical Medicine & Rehabilitation Specialist Network Physical Medicine & Rehabilitation Allopathic & Osteopathic Physicians | 034578
CT |
001345786 | MEDICAID | CT |