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NPI Code Detail

MEDICARE: BENJAMIN MARTIN WELCH DPT

MEDICARE: BENJAMIN MARTIN WELCH DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
127023OTHERMDSTATE OF MARYLAND

General Provider Information

NPI Number : 1598250789
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN MARTIN WELCH DPT
Provider Business Mailing Address
First Line : 100 WALTER WARD BLVD STE 200
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1285
Country : US
Telephone Number : 443-512-8337
Fax Number : 443-327-5282
Provider Business Practice Location Address
First Line : 100 WALTER WARD BLVD STE 200
Second Line :
City : ABINGDON
State : MD
Zip : 21009-1285
Country : US
Telephone Number : 443-512-8337
Fax Number : 443-327-5282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2018
Last Update Date : 06/29/2018

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Directions to “ BENJAMIN MARTIN WELCH DPT” Practice Location

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