Individual
BRUCE WELKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-5252
Mailing address
PO BOX 1145, GLEN, NH 03838-1145
(603) 383-9468
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
10442
NH
207P00000X
Emergency Medicine Physician
183415
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0105506Y0NH02
BCBS THRU SEACOAST ER
NH
05
—
30206944
—
NH
05
—
432622899
—
ME
01
—
AA98576
HARVARD PILGRIM NH
NH
01
—
P00634687
RAILROAD MEDICARE
NH
Enumeration date
02/01/2006
Last updated
11/29/2010
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