Individual
BETHANY WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3400 SPRUCE ST, 4 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-2096
Mailing address
3400 SPRUCE ST, 4 SILVERSTEIN, PHILADELPHIA, PA 19104-4238
(215) 662-2096
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA056124
PA
Other
Enumeration date
07/18/2012
Last updated
12/17/2018
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