Walson Medical Support Element
Organization Active NPI Military Outpatient Operational (Transportable) Component Clinic/Center · Ft. Dix, NJ
NPI 1154474419 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154474419
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Military Outpatient Operational (Transportable) Component Clinic/Center 261QM1102X
- License
- F333963-1 (NM)
- Legal business name
- WALSON MEDICAL SUPPORT ELEMENT
- Practice address
- 5631 Baltimore Ave
Ft. Dix, NJ 08640-0000 - Phone
- (609) 562-5419
- NPI assigned
- Jan 19, 2007
- Organization subpart
- No
Authorized official
- Name
- Albert Martins, MD
- Title
- DCCS
- Phone
- (609) 562-5419
Corporate family (same tax ID) 9
Practitioners 1
-
Scott J Winters, FNP
National Provider Directory
- Tax ID family
- United States Army
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Outpatient Operational (Transportable) Component Clinic/Center | 261QM1102X | F333963-1 | NM | Yes |
Addresses
Primary practice location
5631 Baltimore Ave
Ft. Dix, NJ 08640-0000
Mailing address
1562 Marine Pkwy
Brooklyn, NY 11234-3414
Phone (347) 733-9938
Other providers in Ft. Dix, NJ
- Jonathan Sirkin
- SRC Pending Consult Management
- Christine Lee Stinner
- Melissa Sherona Thompson
- Rory E Tippit
- Scott J Winters
- Tyler Wyatt
- Anna Maria Zucker
All providers in Ft. Dix, NJ · Military Outpatient Operational (Transportable) Component Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.