Individual provider · Type 1 NPI
Walter Mauricio Saquipulla
Medical Physician Assistant · Old Saybrook, CT
NPI number
1457879967
Active
Practice location
1687 Boston Post Rd
Old Saybrook, CT 06475-1608
Fax (860) 391-6450
Mailing address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 5330 (CT) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Old Saybrook
About NPI 1457879967
Walter Mauricio Saquipulla's National Provider Identifier is 1457879967, issued on Sep 5, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Old Saybrook, CT. The record was last updated on Jul 8, 2026.