Individual
JOANNA M WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(617) 308-8696
Mailing address
PO BOX 414977, BOSTON, MA 02241-4977
(617) 308-8696
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA4054
MA
Other
Enumeration date
10/13/2010
Last updated
11/11/2015
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