Scott, Winston J

Scott, Winston J is an sole proprietor health care provider with primary practice located at 310 Central Ave Suite 206, East Orange NJ 07018-2835. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Scott, Winston J can be contacted via phone (973) 674-1070.

Contact Information

Primary practice address
310 Central Ave Suite 206 East Orange NJ 07018-2835
Fax: (973) 674-0219
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 38486 New Jersey

Profile Details

NPI number 1780729921
LBN Legal business name Scott, Winston J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Apr 8th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780729921 NPPES
New Jersey MEDICAID 0722405

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