Provider Demographics
NPI:1376847590
Name:TRAWINSKA WELSH, JOANNA PATRYCJA (OD)
Entity Type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:PATRYCJA
Last Name:TRAWINSKA WELSH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 VERSAILLES BLVD
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-5131
Mailing Address - Country:US
Mailing Address - Phone:609-504-7299
Mailing Address - Fax:
Practice Address - Street 1:3223 ROUTE 38
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-9746
Practice Address - Country:US
Practice Address - Phone:856-234-7881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-03
Last Update Date:2012-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00628900152W00000X
NJ27OA00096000152W00000X
PAOEG002430152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist