Comiskey, Walter M
Comiskey, Walter M is an individual health care provider with primary practice located at 1 Mainbridge Ln , Willingboro NJ 08046-2103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Comiskey, Walter M can be contacted via phone (609) 877-0644.Contact Information
Primary practice address
1 Mainbridge Ln
Willingboro NJ 08046-2103
Phone: (609) 877-0644
Fax: (609) 877-0370
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MB 034470 | New Jersey |
Profile Details
| NPI number | 1457572802 |
|---|---|
| LBN Legal business name | Comiskey, Walter M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2007 |
| Last updated | Oct 18th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457572802 | NPPES |
| New Jersey | MEDICAID | 0976504 |
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