Individual
BARRY H. WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1905 KINGSWOOD CT, ANNAPOLIS, MD 21401-2945
(410) 703-7300
Mailing address
PO BOX 483, MILLERSVILLE, MD 21108-0483
(410) 703-7300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D33084
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0W03BH
CAREFIRST MARYLAND #
MD
05
—
232991300
—
MD
01
—
2564
BLUECHOICE MARYLAND #
MD
01
—
340010755
RAILROAD MEDICARE #
MD
Enumeration date
08/31/2006
Last updated
06/19/2010
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