Healthcare Provider Details

I. General information

NPI: 1821231135
Provider Name (Legal Business Name): TERRENCE WELSH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/16/2009
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 COLUMBIA TPKE STE 102B
FLORHAM PARK NJ
07932-2193
US

IV. Provider business mailing address

123 COLUMBIA TPKE STE 102B
FLORHAM PARK NJ
07932-2193
US

V. Phone/Fax

Practice location:
  • Phone: 973-755-0190
  • Fax: 973-755-0191
Mailing address:
  • Phone: 973-755-0190
  • Fax: 973-755-0191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA08955700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number25MA08955700
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number247701
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: