Alexandra C Walsh, PA-C
Physician Assistant in Baltimore, MD. Individual provider (NPI-1).
NPI number1770091076
StatusActive
Last updated in NPPESDec 17, 2024
Details
- NPI
- 1770091076
- Entity type
- Individual (NPI-1)
- Name
- Ms. Alexandra C Walsh
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2018
- Certification date
- Dec 17, 2024
- Last updated
- Dec 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C0009248 | MD | Yes |
| 363A00000X | Physician Assistant | 025090 | NY | |
| 363AM0700X | Physician Assistant, Medical | MA059739 | PA |
Practice location
22 S Greene StBaltimore, MD 21201-1544
Phone 667-214-1718 · Fax 410-706-6976
Mailing address
Po Box 64226Baltimore, MD 21264-4226
Phone 667-217-1734 · Fax 410-706-6976
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