Walsh, Joseph A

Walsh, Joseph A is an individual health care provider with primary practice located at 263 Farmington Ave Provider Enrollment, Farmington CT 06030-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Walsh, Joseph A can be contacted via phone (860) 679-7503.

Contact Information

Primary practice address
263 Farmington Ave Provider Enrollment Farmington CT 06030-2212
Phone: (860) 679-7503
Fax: (860) 679-1610
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 027850 Connecticut

Profile Details

NPI number 1518964899
LBN Legal business name Walsh, Joseph A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jun 15th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518964899 NPPES
Connecticut MEDICAID 1278506

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