Individual
MRS. ABIGAIL HODGES WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039
(973) 322-5000
Mailing address
171 FERNWOOD AVE, MONTCLAIR, NJ 07043-1903
(646) 856-7093
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
26NJ00929300
NJ
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
26NJ00929300
NJ
Other
Enumeration date
11/17/2010
Last updated
06/13/2022
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