Individual
MRS. AMY D WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
D0046137
MD
207R00000X
Internal Medicine Physician
Primary
D46137
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125151100
—
MD
01
—
199CAD 53266001
BCBS
MD
Enumeration date
02/05/2007
Last updated
05/04/2011
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