Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NI0013X | Independent Medical Examiner | 3626 | MA |
NPI | 1093295610 |
---|---|
Provider Name | Andrew Steven Welsch |
First Address | Watertown, MA 02472-4402 |
Second Address | Watertown, MA 02472-4402 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2018 |
Last Update Date | 16/08/2018 |