Active NPIIndividual providerSole proprietor

Timothy A Walsh, ATC, LAT

Specialist in East Rutherford, New Jersey

NPI Number1730117466
Practice location
390 Murray Hill Pkwy, East Rutherford, NJ 07073-2109
Fax
201-935-5149
Last updated
July 8, 2007

Timothy Aloysius Walsh is a Specialist based in East Rutherford, NJ. Timothy Aloysius Walsh practices in East Rutherford, NJ and has the professional credentials of ATC, LAT. The NPI Number for Timothy Aloysius Walsh is 1730117466 and holds a License No. 25MT00021200 (NJ). The current practice location address for Timothy Aloysius Walsh is 390 Murray Hill Pkwy, East Rutherford, NJ 07073-2109 and can be reached out via phone at 201-635-3192 and via fax at 201-935-5149.

Provider Profile Details

NPI Number
1730117466
Provider Name
Timothy Aloysius Walsh
Credential
ATC, LAT
Provider Entity Type
Individual
Gender
Male
Address
390 Murray Hill Pkwy, East Rutherford, NJ 07073-2109
Phone Number
201-635-3192
Fax Number
201-935-5149
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Provider Enumeration Date
June 29, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
390 Murray Hill Pkwy
East Rutherford, NJ 07073-2109
Zip
07073-2109
Phone Number
201-635-3192
Fax Number
201-935-5149
East Rutherford, NJ 07073Get directions →

Provider Business Mailing Address Details

Address
19 Fairfield CT
Township Of Washington, NJ 07676-5114
City
Township Of Washington
State
NJ
Zip
07676-5114
Phone Number
201-248-3519
Fax Number
201-935-5149

License Information

License Number
25MT00021200
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Timothy A Walsh, ATC, LAT?

The NPI number of Timothy A Walsh, ATC, LAT is 1730117466. It was assigned on June 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Timothy A Walsh, ATC, LAT?

Timothy A Walsh, ATC, LAT is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number 25MT00021200.

Where does Timothy A Walsh, ATC, LAT practice?

The practice location is 390 Murray Hill Pkwy, East Rutherford, NJ 07073-2109. The office can be reached at 201-635-3192 (phone) or 201-935-5149 (fax).

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 1730117466 directly on the NPPES registry website.

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