Healthcare Provider Details

I. General information

NPI: 1093001588
Provider Name (Legal Business Name): CHRIS WINFREY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2011
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 EXECUTIVE CAMPUS STE 309
CHERRY HILL NJ
08002-4102
US

IV. Provider business mailing address

2 EXECUTIVE CAMPUS STE 309
CHERRY HILL NJ
08002-4102
US

V. Phone/Fax

Practice location:
  • Phone: 856-983-4940
  • Fax:
Mailing address:
  • Phone: 856-983-4940
  • Fax: 856-983-3408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD453407
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MA09731600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: