Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | MB066798 | NJ |
NPI | 1992898720 |
---|---|
Provider Name | Barbara Ann Winfield |
First Address | Voorhees, NJ 08043-3814 |
Second Address | Voorhees, NJ 08043-3814 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 11/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
558697 | MEDICARE PTAN (GROUP) (01) | |
8074208 | (05) | NJ |