Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 25MA01479500 | NJ |
NPI | 1376757112 |
---|---|
Provider Name | Mrs. June Flory Winkler |
First Address | Hasbrouck Heights, NJ 07604-2114 |
Second Address | Hasbrouck Heights, NJ 07604-2114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/07/2007 |