Individual
MARK J WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 836-4696
Mailing address
111 N MAPLEMERE RD STE 120, WILLIAMSVILLE, NY 14221-3178
(716) 836-4646
(716) 836-4696
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
221305-1
NY
2085R0202X
Diagnostic Radiology Physician
D0082346
MD
2085R0202X
Diagnostic Radiology Physician
MD057975L
PA
2085R0202X
Diagnostic Radiology Physician
MD18504
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01869176
—
NY
Enumeration date
06/23/2006
Last updated
08/21/2023
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