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1659799906

NPI Code Detail

MEDICARE: JAVELLE A. WYNTER MD

MEDICARE: JAVELLE A. WYNTER 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	207RG0100X	Gastroenterology Physician	24262	ND
2	207RG0100X	Gastroenterology Physician	303868	NY
3	207R00000X	Internal Medicine Physician	303868	NY
4	207RG0100X	Gastroenterology Physician	0101272196	VA
5	207RG0100X	Gastroenterology Physician	291699	MA
6	207RG0100X	Gastroenterology Physician	2024-00389	NC

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	:	1659799906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAVELLE A. WYNTER MD

Provider Business Mailing Address
First Line	:	535 FAUNCE CORNER RD
Second Line	:
City	:	DARTMOUTH
State	:	MA
Zip	:	02747-1242
Country	:	US
Telephone Number	:	508-996-3991
Fax Number	:

Provider Business Practice Location Address
First Line	:	535 FAUNCE CORNER RD
Second Line	:
City	:	DARTMOUTH
State	:	MA
Zip	:	02747-1242
Country	:	US
Telephone Number	:	508-996-3991
Fax Number	:

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

Provider Enumeration Date	:	04/03/2014
Last Update Date	:	04/09/2026

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Directions to “ JAVELLE A. WYNTER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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