Individual
SUSSANNAH SAVITRI WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1102 E CHESTNUT AVE, VINELAND, NJ 08360-5002
(856) 696-4484
(856) 696-1694
Mailing address
1102 E CHESTNUT AVE, VINELAND, NJ 08360-5002
(856) 696-4484
(856) 696-1694
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA08465700
NJ
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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