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NPI Code Detail

MEDICARE: DR. EDWIN J WINNER AUD

MEDICARE: DR. EDWIN J WINNER AUD
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
1231H00000XAudiologistAT000595-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10715274000OTHERPAKEYSTONE

General Provider Information

NPI Number : 1811995350
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWIN J WINNER AUD
Provider Business Mailing Address
First Line : 24 SPRINGLEA LN
Second Line :
City : CHESTER SPRINGS
State : PA
Zip : 19425-3319
Country : US
Telephone Number : 610-745-8381
Fax Number :
Provider Business Practice Location Address
First Line : 1700 S LINCOLN AVE
Second Line :
City : LEBANON
State : PA
Zip : 17042-7529
Country : US
Telephone Number : 717-272-6621
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 12/06/2024

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