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Individual

GARY WELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3998 RED LION RD, PHILADELPHIA, PA 19114-1436
(215) 612-4000
(215) 807-8235
Mailing address
PO BOX 8500-6335, PHILADELPHIA, PA 19178-0001
(215) 807-8000
(215) 807-8235

Taxonomy

Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
Primary
OS006303E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0010914490004
PA
05
0010914490008
PA
01
0089204000
KEYSTONE IBC
PA
01
01091449-03
AMERICHOICE
PA
01
1090225
KEYSTONE MERCY
PA
01
12618
HEALTH PARTNERS
PA
01
174728
HIGHMARK BLUE SHIELD
PA
01
1749580
CIGNA
PA
01
20045182
AMERIHEALTH MERCY
PA
Enumeration date
07/18/2006
Last updated
07/16/2007
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