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NPI 1629144167

NPI 1629144167 : WINSTON PEDIATRICS PA : MILFORD, DE

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General NPI Number Information
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    NPI Number           |    1629144167
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    Entity Type          |    Organization 
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    Legal Business Name  |    WINSTON PEDIATRICS PA 
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Dates
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    Enumeration Date     |    11/27/2006
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    375 MULLET RUN STREET 
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    City                 |    MILFORD
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    State                |    DE
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    Zip                  |    19963
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    Country              |    US
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    Telephone            |    302-424-1650
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    Fax                  |    302-422-7781
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Provider Business Mailing Address
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    Address Line         |    375 MULLET RUN STREET 
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    City                 |    MILFORD
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    State                |    DE
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    Zip                  |    19963
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    Country              |    US
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    Telephone            |    302-424-1650
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    Fax                  |    302-422-7781
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     BRADLEY M WINSTON 
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    Credential           |    MD
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    Telephone            |    302-424-1650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    C1004093
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    License Number State |    DE
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