Individual
RICHARD J WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-8224
(315) 464-2187
Mailing address
90 PRESIDENTIAL PLZ, SYRACUSE, NY 13202-2240
(315) 464-8224
(315) 464-2187
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
092865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00572330
—
NY
Enumeration date
05/23/2006
Last updated
05/07/2010
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