Individual
PATRICIA MULLANE WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
84 VERONICA AVE, SOMERSET, NJ 08873-3529
(732) 992-6700
Mailing address
22 CLUB PL, GALLOWAY, NJ 08205-3403
(215) 407-6282
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00461100
NJ
Other
Enumeration date
02/08/2018
Last updated
08/01/2024
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