Provider Demographics
NPI:1770702995
Name:WELSH, REGAN J (MD)
Entity type:Individual
Prefix:DR
First Name:REGAN
Middle Name:J
Last Name:WELSH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Mailing Address - Street 1:12 GOODSELL HILL RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CT
Mailing Address - Zip Code:06896-3308
Mailing Address - Country:US
Mailing Address - Phone:203-938-2820
Mailing Address - Fax:
Practice Address - Street 1:12 GOODSELL HILL RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CT
Practice Address - Zip Code:06896-3308
Practice Address - Country:US
Practice Address - Phone:203-733-6412
Practice Address - Fax:203-938-9179
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2013-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT038267207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H34966Medicare UPIN