Provider Demographics
NPI:1073548244
Name:WELSH, JOSEPH E (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:E
Last Name:WELSH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2204 GRANT RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-3855
Mailing Address - Country:US
Mailing Address - Phone:650-969-5227
Mailing Address - Fax:650-969-5151
Practice Address - Street 1:2204 GRANT RD
Practice Address - Street 2:SUITE 105
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-3855
Practice Address - Country:US
Practice Address - Phone:650-969-5227
Practice Address - Fax:650-969-5151
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG44185207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA49577Medicare UPIN
CA00G441850Medicare PIN