FRINNY R POLANCO WALTERS M.D. NPI 1366855306

NPI Information

  • NPI: 1366855306
  • Provider Name: FRINNY R POLANCO WALTERS, M.D.
  • Classification: Pediatrics - 2080A0000X
  • Specialization: Adolescent Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 230 BOWDOIN ST
    DORCHESTER, MA
    ZIP 02122
  • Phone: (617) 754-0100

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NPI Details

Frinny R Polanco Walters, M.D. is an adolescent medicine pediatrics in Dorchester, MA. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Frinny R Polanco Walters, M.D. NPI is 1366855306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

230 BOWDOIN ST
DORCHESTER, MA
ZIP 02122-817
Phone: (617) 754-0100
Fax: (617) 754-0230

The NPI 1366855306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/7/2014 and was last updated on 1/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent Medicine269921MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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