Individual
MARTIN S WALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 TSIENNETO RD, DERRY, NH 03038-1584
(603) 434-7444
(603) 434-1733
Mailing address
425 BLACK WALNUT DR, MOUNTAIN TOP, PA 18707-1566
(443) 481-6538
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
10637
NH
208600000X
Surgery Physician
MD061845L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE5299
—
VT
05
—
1031721820001
—
PA
05
—
3081247
—
NH
05
—
911003800
—
MD
Enumeration date
08/11/2006
Last updated
01/28/2022
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