Provider Demographics
NPI:1437199379
Name:WELIK, ROBERT AVRUM (MD PA)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:AVRUM
Last Name:WELIK
Suffix:
Gender:M
Credentials:MD PA
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:919 SETON DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1847
Mailing Address - Country:US
Mailing Address - Phone:301-777-7011
Mailing Address - Fax:301-724-2862
Practice Address - Street 1:919 SETON DR
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1847
Practice Address - Country:US
Practice Address - Phone:301-777-7011
Practice Address - Fax:301-724-2862
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0031875207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4733301000Medicaid
MD473301100Medicaid
MD9075RAOtherCAREFIRST BCBS
MD473301100Medicaid