Healthcare Provider Details

I. General information

NPI: 1760010680
Provider Name (Legal Business Name): SEAN MATTHEW WELCH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2225 E EVESHAM RD STE 102
VOORHEES NJ
08043-1557
US

IV. Provider business mailing address

301 LIPPINCOTT DR STE 410
MARLTON NJ
08053-4197
US

V. Phone/Fax

Practice location:
  • Phone: 856-355-7133
  • Fax: 856-856-3557
Mailing address:
  • Phone: 856-355-7133
  • Fax: 856-856-3557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number25MA12683000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: