Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | D35344 | MD |
NPI | 1578518809 |
---|---|
Provider Name | Julie Beth Winston |
First Address | Towson, MD 21204-7525 |
Second Address | Towson, MD 21204-7525 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 01/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
486961300 | (05) | MD |
E94073 | (02) | MD |