Provider Demographics
NPI:1821231135
Name:WELSH, TERRENCE MATHEW (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:MATHEW
Last Name:WELSH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 MORRISTOWN RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-1655
Mailing Address - Country:US
Mailing Address - Phone:908-630-0175
Mailing Address - Fax:
Practice Address - Street 1:175 MORRISTOWN RD
Practice Address - Street 2:SUITE 202
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-1655
Practice Address - Country:US
Practice Address - Phone:908-630-0175
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2012-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY247701207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology