Basic Information
| Provider Information | |||||||||
| NPI: | 1902893977 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WELSH | ||||||||
| FirstName: | JOSEPH | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1201 LANGHORNE NEWTOWN RD | ||||||||
| Address2: | |||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157102196 | ||||||||
| FaxNumber: | 2157102408 | ||||||||
| Practice Location | |||||||||
| Address1: | 31700 TEMECULA PKWY | ||||||||
| Address2: | |||||||||
| City: | TEMECULA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925925896 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9513312200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/04/2005 | ||||||||
| LastUpdateDate: | 11/11/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 11/11/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | OS009910L | PA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | 20A13084 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
ID Information
| ID | Type | State | Issuer | Description | 0017454170006 | 05 | PA | MEDICAID |