Walson Medical Support Element
Clinic/Center, Military Outpatient Operational (Transportable) Component in Ft. Dix, New Jersey
1154474419- Practice location
- 5631 Baltimore Ave, Ft. Dix, NJ 08640-0000
- Phone
- 609-562-5419
- Fax
- —
- Last updated
- August 22, 2020
Walson Medical Support Element is a healthcare organization based in Ft. Dix, NJ. Walson Medical Support Element practices in Ft. Dix, NJ. The NPI Number for Walson Medical Support Element is 1154474419 and holds a License No. f333963-1 (NM). The current practice location address for Walson Medical Support Element is 5631 Baltimore Ave, Ft. Dix, NJ 08640-0000 and can be reached out via phone at 609-562-5419.
Provider Profile Details
- NPI Number
- 1154474419
- Provider Name
- Walson Medical Support Element
- Provider Entity Type
- Organization
- Address
- 5631 Baltimore Ave, Ft. Dix, NJ 08640-0000
- Phone Number
- 609-562-5419
- Primary Taxonomy
- Clinic/Center, Military Outpatient Operational (Transportable) Component · 261QM1102X
- Organization Subpart
- No
- Authorized Official
- Albert Martins, MD · Dccs · 609-562-5419
- Provider Enumeration Date
- January 19, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5631 Baltimore Ave
Ft. Dix, NJ 08640-0000 - City
- Ft. Dix
- State
- New Jersey
- Zip
- 08640-0000
- Phone Number
- 609-562-5419
Provider Business Mailing Address Details
- Address
- 1562 Marine Pkwy
Brooklyn, NY 11234-3414 - City
- Brooklyn
- State
- NY
- Zip
- 11234-3414
- Phone Number
- 347-733-9938
License Information
- License Number
- f333963-1
- License State
- NM
- Taxonomy
- Clinic/Center, Military Outpatient Operational (Transportable) Component · 261QM1102X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Military Outpatient Operational (Transportable) Component providers near Ft. Dix, NJ
View all Clinic/Center, Military Outpatient Operational (Transportable) Component providers in Ft. Dix →Frequently Asked Questions
What is the NPI number of Walson Medical Support Element?
The NPI number of Walson Medical Support Element is 1154474419. It was assigned on January 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Walson Medical Support Element?
Walson Medical Support Element is registered under the primary taxonomy Clinic/Center, Military Outpatient Operational (Transportable) Component (code 261QM1102X), licensed in NM under license number f333963-1.
Where does Walson Medical Support Element practice?
The practice location is 5631 Baltimore Ave, Ft. Dix, NJ 08640-0000. The office can be reached at 609-562-5419 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154474419 directly on the NPPES registry website.