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NPI Code Detail

MEDICARE: DR. JAMES EDWARD WALSH DPM

MEDICARE: DR. JAMES EDWARD WALSH DPM
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
1213E00000XPodiatristMD00001234NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205943305
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES EDWARD WALSH DPM
Provider Business Mailing Address
First Line : 1078 RT 47 SOUTH
Second Line :
City : RIO GRANDE
State : NJ
Zip : 08242-1608
Country : US
Telephone Number : 609-886-3737
Fax Number : 609-886-1854
Provider Business Practice Location Address
First Line : 1078 RT 47 SOUTH
Second Line :
City : RIO GRANDE
State : NJ
Zip : 08242-1608
Country : US
Telephone Number : 609-886-3737
Fax Number : 609-886-1854
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/01/2010

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