Provider Demographics
NPI:1437246824
Name:WALSH, ARTHUR W (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:W
Last Name:WALSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 BANK ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03766
Mailing Address - Country:US
Mailing Address - Phone:603-448-7309
Mailing Address - Fax:603-448-8821
Practice Address - Street 1:56 BANK ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766
Practice Address - Country:US
Practice Address - Phone:603-448-7309
Practice Address - Fax:603-448-8821
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH10460207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0104962Y0NH01OtherNHBC
00038756OtherVT BLUE CROSS BLUE SHIELD
10022521OtherCIGNA
NH30200022Medicaid
VT0RE4899OtherMEDICAID
17P200OtherMVP
NH1830OtherHARVARD PILGRIM
NH30200022Medicaid
00038756OtherVT BLUE CROSS BLUE SHIELD