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Individual

MATTHEW WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
19 HINCKLEY ST UNIT 1, DORCHESTER, MA 02125-1940
(774) 212-2146

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
95240319
CA
163WC0200X
Critical Care Medicine Registered Nurse
RN2321425
MA
363L00000X
Nurse Practitioner
Primary
RN2321425
MA

Other

Enumeration date
06/12/2022
Last updated
08/06/2022
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