Healthcare Provider Details

I. General information

NPI: 1902888779
Provider Name (Legal Business Name): WINCHESTER MEDICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

955 MAIN STREET SUITE 300
WINCHESTER MA
01890-4303
US

IV. Provider business mailing address

PO BOX 50134
NEW BEDFORD MA
02745-0005
US

V. Phone/Fax

Practice location:
  • Phone: 508-763-4025
  • Fax: 508-763-4303
Mailing address:
  • Phone: 508-763-4025
  • Fax: 508-763-4303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code246X00000X
TaxonomyCardiovascular Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARON SANDEE BABINEAU
Title or Position: MANAGER
Credential:
Phone: 508-763-4025