Provider Demographics
NPI:1265859508
Name:BELL, JAMES WELCH (PA-C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:WELCH
Last Name:BELL
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 ADAMS AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-1502
Mailing Address - Country:US
Mailing Address - Phone:413-663-7341
Mailing Address - Fax:
Practice Address - Street 1:235 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-1502
Practice Address - Country:US
Practice Address - Phone:413-663-7341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA4979363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPA4979OtherMASSACHUSETTS BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS