Individual
MAUREEN WELCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 562-7077
Mailing address
77 WARREN ST, 3RD FLOOR, BRIGHTON, MA 02135-3601
(617) 562-5413
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
128013
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0708402
—
MA
Enumeration date
01/23/2006
Last updated
07/08/2007
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