Provider Demographics
NPI:1144262437
Name:WELINSKY, MELVIN (MD)
Entity type:Individual
Prefix:
First Name:MELVIN
Middle Name:
Last Name:WELINSKY
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:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-6660
Mailing Address - Fax:617-724-6829
Practice Address - Street 1:15 PARKMAN ST
Practice Address - Street 2:BULFINCH MEDICAL GROUP, WANG 535
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-724-6660
Practice Address - Fax:617-724-6829
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD27921207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD310791400Medicaid
MDS806C100Medicare ID - Type Unspecified
MD310791400Medicaid
MDB69842Medicare UPIN