Provider Demographics
NPI:1275503666
Name:WALTING, PAUL J (MD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:J
Last Name:WALTING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:170 UNIVERSITY DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2247
Mailing Address - Country:US
Mailing Address - Phone:413-253-2767
Mailing Address - Fax:
Practice Address - Street 1:170 UNIVERSITY DR
Practice Address - Street 2:SUITE 201
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2247
Practice Address - Country:US
Practice Address - Phone:413-253-2767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2351452084N0400X, 2084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA000630801Medicare PIN