Individual
TAMARA LYNN WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
129 LUBRANO DR, SUITE 100, ANNAPOLIS, MD 21401-7566
(410) 266-5852
(410) 266-5095
Mailing address
1111 BENFIELD BLVD, SUITE 200, MILLERSVILLE, MD 21108-3002
(410) 729-5100
(410) 729-5156
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D72289
MD
207Q00000X
Family Medicine Physician
MD430565
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0117
CAREFIRST BLUE CHOICE
MD
05
—
221203000
—
MD
01
—
252175
EHP/PRIORITY PARTNERS
MD
01
—
7604961
AETNA PPO
MD
01
—
8158133
AETNA HMO
MD
01
—
974740-01
CAREFIRST BCBS OF MARYLAND
MD
01
—
P19745
CAREFIRST POS
MD
Enumeration date
04/12/2007
Last updated
05/22/2012
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