Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 212374 | MA |
N | 208600000X | Surgeon | 212374 | MA |
N | 2086S0102X | Surgical Critical Care | 212374 | MA |
Y | 2086S0127X | Trauma Surgeon | 212374 | MA |
NPI | 1154376911 |
---|---|
Provider Name | Eleanor S Winston |
First Address | Springfield, MA 01199-1001 |
Second Address | Springfield, MA 01107-1270 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 19/05/2016 |