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
Phone: (908) 753-6401
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1205845039 | NPPES |
New Jersey | MEDICAID | 3668908 | |
New Jersey | Other | 25MA04152300 |
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