Active NPIIndividual provider

Walter M Saquipulla

Physician Assistant, Medical in Old Saybrook, Connecticut

NPI Number1457879967
Practice location
1687 Boston Post RD, Old Saybrook, CT 06475-1608
Fax
860-391-6450
Last updated
July 8, 2026

Walter Mauricio Saquipulla is a Physician Assistant, Medical based in Old Saybrook, CT. Walter Mauricio Saquipulla practices in Old Saybrook, CT. The NPI Number for Walter Mauricio Saquipulla is 1457879967 and holds a License No. 5330 (CT). The current practice location address for Walter Mauricio Saquipulla is 1687 Boston Post RD, Old Saybrook, CT 06475-1608 and can be reached out via phone at 860-391-6449 and via fax at 860-391-6450.

Provider Profile Details

NPI Number
1457879967
Provider Name
Walter Mauricio Saquipulla
Provider Entity Type
Individual
Gender
Male
Address
1687 Boston Post RD, Old Saybrook, CT 06475-1608
Phone Number
860-391-6449
Fax Number
860-391-6450
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Provider Enumeration Date
September 5, 2017
Last Update Date
July 8, 2026
Certification Date
July 8, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1687 Boston Post RD
Old Saybrook, CT 06475-1608
Zip
06475-1608
Phone Number
860-391-6449
Fax Number
860-391-6450
Old Saybrook, CT 06475Get directions →

Provider Business Mailing Address Details

Address
1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
City
Wethersfield
State
CT
Zip
06109-4337

License Information

License Number
5330
License State
CT
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Walter M Saquipulla?

The NPI number of Walter M Saquipulla is 1457879967. It was assigned on September 5, 2017 and is currently active in the NPPES registry.

What is the specialty of Walter M Saquipulla?

Walter M Saquipulla is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in CT under license number 5330.

Where does Walter M Saquipulla practice?

The practice location is 1687 Boston Post RD, Old Saybrook, CT 06475-1608. The office can be reached at 860-391-6449 (phone) or 860-391-6450 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457879967 directly on the NPPES registry website.

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