MEDICARE: RICHARD P WINNE JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	25MA05336300	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134125743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD P WINNE JR. MD

Provider Business Mailing Address
First Line	:	PO BOX 18352
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07191-8352
Country	:	US
Telephone Number	:	201-804-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 MADISON AVE
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6092
Country	:	US
Telephone Number	:	973-971-6824
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	07/08/2007

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