Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | MA37258 | NJ |
NPI | 1235196262 |
---|---|
Provider Name | John Gilbert Winant JR. |
First Address | Mercerville, NJ 08619-1255 |
Second Address | Mercerville, NJ 08619-1255 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2006 |
Last Update Date | 01/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0090172000 | AMERIHEALTH (01) | |
0952924011 | CIGNA (01) | |
11724 | MEDICHOICE (01) | |
156257 | ONE HEALTH PLAN (01) | |
1694502 | (05) | NJ |
17569 | AETNA (01) | |
180019 | HORIZON (01) | |
22232653 | PHCS (01) | |
222326530 | AMERIHEALTH PERSONAL CHOI (01) | |
222326530 | CHN (01) | |
222326530 | DEVON (01) | |
222326530 | FIRST HEALTH (01) | |
222326530 | HCPC HEALTH CARER PAYERS (01) | |
222326530 | HORIZON (01) | |
222326530 | UNIVERSITY HEALTH PLAN (01) | |
670986 | UNITED HEALTHCARE (01) | |
D18659 | (02) | |
MES249 | OXFORD (01) |