Physician Compare National (NPI:1770897282)

HEALTHCARE PROVIDER: WINIFRED CONSTABLE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1770897282
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193900793
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110426000095
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CONSTABLE
	Individual professional last name
Provider First Name	WINIFRED
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	735 OLD LANCASTER RD
	Group Practice or individual's line 1 address
City	BRYN MAWR
	Group Practice or individual's city
State	PA
	Group Practice or individual's state
Zip Code	190103414
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y