Healthcare Provider Details

I. General information

NPI: 1982310496
Provider Name (Legal Business Name): JAMES WELCH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 01/27/2023
Certification Date: 01/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 CENTER DR
BETHESDA MD
20892-0004
US

IV. Provider business mailing address

7500 BOXBERRY TER
GAITHERSBURG MD
20879-4547
US

V. Phone/Fax

Practice location:
  • Phone: 301-402-2407
  • Fax:
Mailing address:
  • Phone: 301-873-1529
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: