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Contact Information

PAGE WALLER, PA
130 ROUTE 37
NEW FAIRFIELD, CT06812
 Phone: 203-746-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for PAGE WALLER · (Female)

NPI Number 1467547356
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000492
Hospital affiliation(s)
  • DANBURY HOSPITAL - (Acute Care)
    24 HOSPITAL AVE
    DANBURY, CT 06810
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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