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Individual

DR. CHARLES ALFRED WELCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
56 SHEPARD ST, MASS GENERAL PHYSICIAN ORGANIZATION, CAMBRIDGE, MA 02138-1523
(617) 347-7011
(617) 945-0991
Mailing address
56 SHEPARD ST, MASS GENERAL PHYSICIAN ORGANIZATION, CAMBRIDGE, MA 02138-1523
(617) 347-7011
(617) 945-0991

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35853
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2006278
MA
01
700917
TUFTS HEALTH PLAN
MA
01
B06016
BCBS MA
MA
Enumeration date
02/17/2006
Last updated
02/02/2015
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