Individual
MR. THOMAS FRANCIS WALSH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-4071
Mailing address
92 MONTVALE AVE, STE 1400, STONEHAM, MA 02180-3629
(617) 566-3156
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1172
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1211951
—
MA
Enumeration date
12/01/2006
Last updated
03/21/2016
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