Individual
ETHAN R WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
300A FAUNCE CORNER RD, NORTH DARTMOUTH, MA 02747-1280
(508) 973-2213
(508) 973-1185
Mailing address
200 MILL RD, FAIRHAVEN, MA 02719-5252
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA8342
MA
363AM0700X
Medical Physician Assistant
—
RI
Other
Enumeration date
06/01/2018
Last updated
01/07/2026
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