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Individual

PROF. MICHAEL G. WELCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
408 CHRIS GAUPP DR, SUITE 300, GALLOWAY, NJ 08205-4486
(609) 404-0700
(609) 404-0712
Mailing address
750 S WHITE HORSE PIKE, HAMMONTON, NJ 08037-2000
(609) 567-0606

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00178000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0736309
NJ
01
1912934183
INDIVIDUAL NPI
NJ
01
7820240001
DMERC
NJ
Enumeration date
06/26/2006
Last updated
08/09/2022
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