Walmsley, Konstantin

Walmsley, Konstantin is an individual health care provider with primary practice located at 311 Bay Ave Ste 200 , Glen Ridge NJ 07028-1621. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Walmsley, Konstantin can be contacted via phone (973) 429-0462.

Contact Information

Primary practice address
311 Bay Ave Ste 200 Glen Ridge NJ 07028-1621
Phone: (973) 429-0462
Fax: (973) 429-8765
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA07775300 New Jersey
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA07775300 New Jersey

Profile Details

NPI number 1730156456
LBN Legal business name Walmsley, Konstantin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated Mar 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730156456 NPPES
New Jersey MEDICAID 0039942

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