Timothy James Walch, PA-C
Physician Assistant, Medical in Rochester, NY. Individual provider (NPI-1).
NPI number1124530274
StatusActive
Last updated in NPPESMay 11, 2021
Details
- NPI
- 1124530274
- Entity type
- Individual (NPI-1)
- Name
- Timothy James Walch
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 30, 2017
- Certification date
- May 11, 2021
- Last updated
- May 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 021654 | NY | Yes |
Practice location
1555 Long Pond RdRochester, NY 14626-4122
Phone 585-723-7870 · Fax 585-723-7871
Mailing address
1555 Long Pond RoadDepartment Of Medicine
Rochester, NY 14626-4122
Phone 585-723-7870 · Fax 585-723-7871
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