Provider Demographics
NPI:1922022540
Name:WALSH, JEANNA H (MD)
Entity Type:Individual
Prefix:
First Name:JEANNA
Middle Name:H
Last Name:WALSH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:200 TECHNOLOGY DR
Mailing Address - Street 2:NEW HAMPSHIRE ONCOLOGY HEMATOLOGY PA
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-2504
Mailing Address - Country:US
Mailing Address - Phone:603-622-6484
Mailing Address - Fax:603-226-5821
Practice Address - Street 1:250 PLEASANT STREET
Practice Address - Street 2:NEW HAMPSHIRE ONCOLOGY HEMATOLOGY PA
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301
Practice Address - Country:US
Practice Address - Phone:603-224-2556
Practice Address - Fax:603-226-5821
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2024-01-15
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Provider Licenses
StateLicense IDTaxonomies
NH13523207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30206891Medicaid
NHP00458659Medicare PIN
NH30206891Medicaid