Healthcare Provider Details

I. General information

NPI: 1689201212
Provider Name (Legal Business Name): CRISTINA ELIZABETH WALSH DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTINA ELIZABETH ROMANIELLO DO

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3735 NAZARETH RD STE 301
EASTON PA
18045-8347
US

IV. Provider business mailing address

2100 MACK BLVD FL 4
ALLENTOWN PA
18103-5622
US

V. Phone/Fax

Practice location:
  • Phone: 610-829-2200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberH97093
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOS025267
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberC2-0024247
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: