MEDICARE: MR. WILLIAM FRANCIS WALSH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YS0200X	School Counselor		NJ

General Provider Information

NPI Number	:	1598882649
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM FRANCIS WALSH

Provider Business Mailing Address
First Line	:	87 KINGSLEY WAY
Second Line	:
City	:	FREEHOLD
State	:	NJ
Zip	:	07728-1670
Country	:	US
Telephone Number	:	732-431-3577
Fax Number	:

Provider Business Practice Location Address
First Line	:	1460 LIVINGSTON AVE
Second Line	:
City	:	NORTH BRUNSWICK
State	:	NJ
Zip	:	08902-1873
Country	:	US
Telephone Number	:	732-878-0070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	07/08/2007

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