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NPI Code Detail

MEDICARE: DR. SARAH E WALSH MD

MEDICARE: DR. SARAH E WALSH MD
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
12084P0804XChild & Adolescent Psychiatry Physician14275NH

General Provider Information

NPI Number : 1295843175
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH E WALSH MD
Provider Business Mailing Address
First Line : 105 LOUDON RD BLDG 3
Second Line : PO BOX 2032
City : CONCORD
State : NH
Zip : 03301-5600
Country : US
Telephone Number : 603-228-0547
Fax Number : 603-226-7508
Provider Business Practice Location Address
First Line : 105 LOUDON RD BLDG 3
Second Line :
City : CONCORD
State : NH
Zip : 03301-5600
Country : US
Telephone Number : 603-228-0547
Fax Number : 603-226-7508
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 09/19/2013

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