Individual
THOMAS JACK WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4939 BRITTONFIELD PKWY STE 202, EAST SYRACUSE, NY 13057-9208
(315) 634-6699
(315) 634-6695
Mailing address
301 PROSPECT AVE, SYRACUSE, NY 13203-1807
(315) 744-1478
(315) 744-1218
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
294124
NY
207RI0011X
Interventional Cardiology Physician
294124
NY
Other
Enumeration date
04/11/2013
Last updated
06/10/2020
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