Winickoff, Jonathan Philip
Winickoff, Jonathan Philip is an individual health care provider with primary practice located at 40 2Nd Ave Ste 400 Mass General West Medical Group Waltham, Waltham MA 02451. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Winickoff, Jonathan Philip can be contacted via phone (781) 522-9000.Contact Information
Primary practice address
40 2Nd Ave Ste 400 Mass General West Medical Group Waltham
Waltham MA 02451
Phone: (781) 522-9000
Fax: (781) 522-9095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 205857 | Massachusetts |
Profile Details
| NPI number | 1720049760 |
|---|---|
| LBN Legal business name | Winickoff, Jonathan Philip |
| Credentials | MD MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720049760 | NPPES |
| Massachusetts | Other | J22483 | BCBS MA |
| Massachusetts | MEDICAID | 0100650 | BCBS MA |
| Massachusetts | Other | 205857 | BCBS MA |
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