MEDICARE: RICHARD A WINTERS 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	2084P0800X	Psychiatry Physician	027902	NJ
2	2084P0800X	Psychiatry Physician	116388	NY

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	:	1114092236
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD A WINTERS MD

Provider Business Mailing Address
First Line	:	29 N FARVIEW AVE
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-2738
Country	:	US
Telephone Number	:	201-843-4944
Fax Number	:	201-265-7647

Provider Business Practice Location Address
First Line	:	29 NORTH FARVIEW AVENUE
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-2717
Country	:	US
Telephone Number	:	201-843-4944
Fax Number	:	201-265-7647

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

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	11/12/2008

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