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Individual

MICHAEL WALSH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(781) 280-1500
(781) 276-6410
Mailing address
PO BOX 414977, BOSTON, MA 02241-4977
(781) 280-1500
(781) 276-6410

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA5072
MA

Other

Enumeration date
07/14/2014
Last updated
07/14/2014
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