Individual
DONALD J WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4199 WASHINGTON ST STE 2, ROSLINDALE, MA 02131-1733
(617) 587-5520
(617) 587-5521
Mailing address
4199 WASHINGTON ST STE 2, ROSLINDALE, MA 02131-1733
(617) 587-5520
(617) 587-5521
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5579
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0712850
—
MA
Enumeration date
02/13/2009
Last updated
02/13/2009
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