Individual
TIMOTHY ALOYSIUS WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
390 MURRAY HILL PKWY, EAST RUTHERFORD, NJ 07073-2109
(201) 635-3192
(201) 935-5149
Mailing address
19 FAIRFIELD CT, TOWNSHIP OF WASHINGTON, NJ 07676-5114
(201) 248-3519
(201) 935-5149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MT00021200
NJ
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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