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Provider Information for 1467427179

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. EDWARD PATRICK WALSH MD

Gender: MALE

Individual NPI: 1467427179

Calendar   Last Updated:  2020-09-21
  Certification Date:  2020-09-21

Details

Name Value
NPI 1467427179
Enumeration Date 2006-02-17
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address PO BOX 845628
BOSTON, MA 02284-5628
United States

Phone: 603-893-9784 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE
BOSTON, MA 02115-5724
United States

Phone: 617-355-6793 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID RI EW03925
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207RC0001X - Internal Medicine Clinical Cardiac Electrophysiology MA 54552
No 2080P0202X - Pediatrics Pediatric Cardiology MA 54552