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Contact Information

DEBRA L DALE WALEK, MD
200 HIGH SERVICE AVE
NORTH PROVIDENCE, RI02904-5113
 Phone: 401-456-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DEBRA L DALE WALEK · (Female)

NPI Number 1265407746
Status Active
Credentials MD
Entity Individual
Enumeration date 02/20/2006
Last updated 09/16/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • RI License # MD07335
  • RI Medicaid 7002303
  • Other P00167240 RAILROAD
  • RI Other 401267 BLUE CHIP
  • RI Other 27417-3 BLUECROSS BLUESHIELD
Hospital affiliation(s)
  • KENT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    455 TOLL GATE RD
    WARWICK, RI 02886
  • WOMEN AND INFANTS HOSPITAL OF RHODE ISLAND - (Acute Care)
    101 DUDLEY STREET
    PROVIDENCE, RI 02905
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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