Healthcare Provider Details
I. General information
NPI: 1528195450
Provider Name (Legal Business Name): ANNA MARIA WELCOME M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/27/2007
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
69 GROVE ST
NEW CANAAN CT
06840-5325
US
IV. Provider business mailing address
90 RIDGEVIEW DR
VEAZIE ME
04401-7051
US
V. Phone/Fax
- Phone: 844-359-8363
- Fax: 833-929-3520
- Phone: 206-914-6897
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 2024017550 |
| License Number State | MO |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 96533 |
| License Number State | GA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 35C.001663 |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 036.165682 |
| License Number State | IL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 32028 |
| License Number State | MS |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 42102 |
| License Number State | OK |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 91668 |
| License Number State | SC |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | MD485299 |
| License Number State | PA |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 48268 |
| License Number State | AL |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | CDR0002934 |
| License Number State | CO |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 69273 |
| License Number State | TN |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | E-18017 |
| License Number State | AR |
| # 13 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | 078210 |
| License Number State | CT |
| # 14 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | MD00047507 |
| License Number State | WA |
| # 15 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207VB0002X |
| Taxonomy | Obesity Medicine (Obstetrics & Gynecology) Physician |
| License Number | MD24188 |
| License Number State | ME |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
