Individual
KEVIN WALSH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
SAINT BARNABAS MEDICAL CENTER, OLD SHORT HILLS ROAD, LIVINGSTON, NJ 07039
(973) 322-5000
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00000200
NJ
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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