Provider Demographics
NPI:1043346539
Name:A WALK-IN MEDICAL CENTER
Entity type:Organization
Organization Name:A WALK-IN MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:C
Authorized Official - Last Name:CALLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-436-3226
Mailing Address - Street 1:66 CEDAR ST
Mailing Address - Street 2:STE 100
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-2646
Mailing Address - Country:US
Mailing Address - Phone:860-436-3226
Mailing Address - Fax:860-436-3229
Practice Address - Street 1:66 CEDAR ST
Practice Address - Street 2:STE 100
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2646
Practice Address - Country:US
Practice Address - Phone:860-436-3226
Practice Address - Fax:860-436-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT036038261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care