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General NPI Number Information
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NPI Number | 1851565451
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL WELTON M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 01/23/2018
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Provider Practice Location Address
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Address Line | 1221 MAIN ST STE 115
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City | HOLYOKE
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State | MA
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Zip | 01040-5396
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Country | US
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Telephone | 413-538-6213
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Fax | 413-538-6862
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Provider Business Mailing Address
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Address Line | 611 HOPMEADOW ST
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City | SIMSBURY
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State | CT
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Zip | 06070-2449
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Country | US
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Telephone | 860-217-1650
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 256257
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207ZF0201X
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Taxonomy Name | Forensic Pathology Physician
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License Number | 256257
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License Number State | MA
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