Individual provider · Type 1 NPI

Cheryl Marie Waltman, PA-C

Surgical Physician Assistant · Hartford, CT

NPI number 1578704615 Active

Practice location

80 Seymour Street, Hartford Hospital Surgery Dept
Hartford, CT 06102-5037

Call (860) 972-4670 Map

Mailing address

PO Box 415933, Hartford Hospital Professional Services
Boston, MA 02241-5933

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X002350 (CT)
Medical Physician Assistant 363AM0700X002350 (CT)
Surgical Physician Assistant Primary 363AS0400X002350 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1578704615

Cheryl Marie Waltman, PA-C's National Provider Identifier is 1578704615, issued on Mar 19, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Jan 13, 2014.