Walsh, Susan

Walsh, Susan is an individual health care provider with primary practice located at 1700 Myrtle Ave , Plainfield NJ 07063-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Walsh, Susan can be contacted via phone (908) 753-6401.

Contact Information

Primary practice address
1700 Myrtle Ave Plainfield NJ 07063-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04152300 New Jersey

Profile Details

NPI number 1205845039
LBN Legal business name Walsh, Susan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1205845039 NPPES
New Jersey MEDICAID 3668908
New Jersey Other 25MA04152300

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