Individual
MARK WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1623 MORGANTOWN RD, READING, PA 19607-9455
(272) 228-0476
Mailing address
1623 MORGANTOWN RD, READING, PA 19607-9455
(226) 228-0476
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS007757L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001540071
MEDICAL ASSISTANCE
PA
05
—
001540071-0005
—
PA
01
—
1775120
BLUE CARE
PA
01
—
20041481
AMERIHEALTH
PA
01
—
4407486
AETNA
PA
01
—
50076569
CAPITAL BLUE CROSS
PA
01
—
819322
BLUE CARE HMO (FPH)
PA
01
—
95285-1067
GEISINGER
PA
01
—
P00292337
RAILROAD MEDICARE
PA
Enumeration date
10/26/2005
Last updated
07/24/2019
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