PAGE H WALLER

WESTERN CONNECTICUT MEDICAL GROUP INC

Dr PAGE H WALLER is a male medical professional, specializing in Physician Assistant. He graduated in 2007 from George Washington University School Of Medicine.

Contact

WESTERN CONNECTICUT MEDICAL GROUP INC

24 HOSPITAL AVE
DANBURY
CT
068106099

Tel: 2037397118

PAGE H WALLER Information

Npi 1467547356
Pac Id 1355491812
Professional Enrollment Id I20090604000398
Last Name WALLER
First Name PAGE
Middle Name H
Suffix
Gender M
Credential
Medical School Name GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2007
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name WESTERN CONNECTICUT MEDICAL GROUP INC
Group Practice Pac Id 4789597691
Number Of Group Practice Members 572
Line 1 Street Address 24 HOSPITAL AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City DANBURY
State CT
Zip Code 068106099
Phone Number 2037397118
Hospital Affiliation Ccn 1 070033
Hospital Affiliation Lbn 1 DANBURY HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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