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Individual

HARRY JOSEPH WALLUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 433-4012
(603) 433-5184
Mailing address
74 PLEASANT ST, STE 204, NEW LONDON, NH 03257-5881
(603) 926-0088
(603) 926-2853

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
260578
NY
207P00000X
Emergency Medicine Physician
Primary
T0638
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03351484
NY
Enumeration date
08/15/2008
Last updated
01/11/2017
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