MEDICARE: THOMAS E WELCH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	171W00000X	Contractor
2	171WH0202X	Home Modifications Contractor
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1376779298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS E WELCH

Provider Business Mailing Address
First Line	:	418 GLEN AVE
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-5612
Country	:	US
Telephone Number	:	610-696-1693
Fax Number	:

Provider Business Practice Location Address
First Line	:	418 GLEN AVE
Second Line	:
City	:	WEST CHESTER
State	:	PA
Zip	:	19382-5612
Country	:	US
Telephone Number	:	610-696-1693
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2009
Last Update Date	:	06/05/2009

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Directions to “ THOMAS E WELCH ” Practice Location

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