Provider Demographics
NPI:1235111865
Name:WALKER, ROBERT W (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:W
Last Name:WALKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 FURNACE ST
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-2328
Mailing Address - Country:US
Mailing Address - Phone:781-837-7200
Mailing Address - Fax:781-837-7255
Practice Address - Street 1:435 FURNACE ST
Practice Address - Street 2:
Practice Address - City:MARSHFIELD
Practice Address - State:MA
Practice Address - Zip Code:02050-2328
Practice Address - Country:US
Practice Address - Phone:781-837-7200
Practice Address - Fax:781-837-7255
Is Sole Proprietor?:No
Enumeration Date:2005-11-18
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA44649208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA04 2297845OtherUNICARE
MA04 2297845OtherHCVM
MA04 2297845OtherPRIVATE HEALTHCARE SYSTEM
MAJ11011OtherBCBS
MA04 2297845OtherTRICARE
MA04 2297845OtherGREAT WEST HEALTH CARE
MA0551690002OtherCIGNA
MA4237789OtherAETNA
MA712444OtherTUFTS
MA04 2297845OtherGIC
MA200158OtherHVD PILGRIM HEALTH CARE
MA2089629Medicaid
MA34727OtherFALLON
MA04 2297845OtherDOC FIRST
MA04 2297845OtherUNITED HEALTH CARE
MA712444OtherSECURE HORIZONS
MAJ11011OtherBCBS
MA0551690002OtherCIGNA