Provider Demographics
NPI:1124174347
Name:WALSH, FRANCIS X (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:X
Last Name:WALSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 RIVER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:COS COB
Mailing Address - State:CT
Mailing Address - Zip Code:06807-2717
Mailing Address - Country:US
Mailing Address - Phone:203-661-9433
Mailing Address - Fax:203-661-2918
Practice Address - Street 1:35 RIVER RD
Practice Address - Street 2:SUITE 200
Practice Address - City:COS COB
Practice Address - State:CT
Practice Address - Zip Code:06807-2717
Practice Address - Country:US
Practice Address - Phone:203-661-9433
Practice Address - Fax:203-661-2918
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT14105207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010014105CT02OtherANTHEM BLUE CROSS
NY00516867Medicaid
P00055618Medicare ID - Type UnspecifiedRAILROAD MEDICARE
NY00516867Medicaid
NY046AF1Medicare ID - Type UnspecifiedNY MEDICARE