Provider Demographics
NPI:1780649467
Name:ROK, WALTER J (MD)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:J
Last Name:ROK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:851 MIDDLE ST
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-1778
Mailing Address - Country:US
Mailing Address - Phone:508-324-6800
Mailing Address - Fax:508-674-5440
Practice Address - Street 1:851 MIDDLE ST
Practice Address - Street 2:SUITE 1100
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-1778
Practice Address - Country:US
Practice Address - Phone:508-324-6800
Practice Address - Fax:508-674-5440
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2012-06-04
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Provider Licenses
StateLicense IDTaxonomies
MA507512080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAD88300Medicare UPIN