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Individual

THOMAS R WELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1603
(352) 273-9180
Mailing address
725 IRVING AVE, STE 401, SYRACUSE, NY 13210-1603
(315) 464-6340
(315) 464-6329

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME135047
FL
2080P0210X
Pediatric Nephrology Physician
120462
NY
2080P0210X
Pediatric Nephrology Physician
Primary
ME135047
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00526729
NY
05
123482100
FL
Enumeration date
06/16/2006
Last updated
12/12/2024
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