Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | D0052876 | MD |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD18350 | DC |
NPI | 1023163706 |
---|---|
Provider Name | Thomas P Winkler |
First Address | Chevy Chase, MD 20815-4404 |
Second Address | Chevy Chase, MD 20815-4404 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 14/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0W54TP | BLUE CROSS (01) |