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NPI Code Detail

MEDICARE: DENNIS G WINKELMAN D.O.

MEDICARE: DENNIS G WINKELMAN D.O.
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
1207Q00000XFamily Medicine PhysicianOS008886LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255323424
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENNIS G WINKELMAN D.O.
Provider Business Mailing Address
First Line : 101 E OLNEY AVE
Second Line : STE 400
City : PHILADELPHIA
State : PA
Zip : 19120-2470
Country : US
Telephone Number : 215-456-1825
Fax Number : 215-456-5926
Provider Business Practice Location Address
First Line : 5325 OLD YORK RD STE 15
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19141-2983
Country : US
Telephone Number : 215-457-7700
Fax Number : 215-457-3601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 02/22/2021

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