MEDICARE: ALEXANDER WINTERS

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	207L00000X	Anesthesiology Physician	125.088412	IL

General Provider Information

NPI Number	:	1114737376
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER WINTERS

Provider Business Mailing Address
First Line	:	10 MEADE ST
Second Line	:
City	:	PEABODY
State	:	MA
Zip	:	01960-4628
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 MEADE ST
Second Line	:
City	:	PEABODY
State	:	MA
Zip	:	01960-4628
Country	:	US
Telephone Number	:	978-979-6011
Fax Number	:

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

Provider Enumeration Date	:	01/09/2025
Last Update Date	:	06/16/2026

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Directions to “ ALEXANDER WINTERS ” Practice Location

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