Provider Demographics
NPI:1194051318
Name:THE WELCARE CENTER
Entity type:Organization
Organization Name:THE WELCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DUPRE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-793-9999
Mailing Address - Street 1:PO BOX 736
Mailing Address - Street 2:1108 NORTH BETHLEHEM PIKE
Mailing Address - City:SPRING HOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:19477
Mailing Address - Country:US
Mailing Address - Phone:215-793-9999
Mailing Address - Fax:215-793-9972
Practice Address - Street 1:1108 NORTH BETHLEHEM PIKE
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477
Practice Address - Country:US
Practice Address - Phone:215-793-9999
Practice Address - Fax:215-793-9972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS011903207Q00000X
PAOS010880207R00000X
PAMD418647208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty