Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 25MA09269800 | NJ |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD442024 | PA |
NPI | 1740456318 |
---|---|
Provider Name | Dr. Brian Seth Winters |
First Address | Egg Harbor Township, NJ 08234-5549 |
Second Address | Egg Harbor Township, NJ 08234-5549 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2008 |
Last Update Date | 10/11/2015 |