Wynberg, Jason B.

Wynberg, Jason B. is an individual health care provider with primary practice located at 743 Jefferson Ave , Scranton PA 18510-1635. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Wynberg, Jason B. can be contacted via phone (570) 491-8141.

Contact Information

Primary practice address
743 Jefferson Ave Scranton PA 18510-1635
Phone: (570) 491-8141
Fax: (570) 891-4284
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301086135 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X BW9323382 New Jersey
Allopathic & Osteopathic Physicians / Urology 208800000X 240026 New York
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA10611400 New Jersey

Profile Details

NPI number 1023090230
LBN Legal business name Wynberg, Jason B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Sep 21st, 2023 - about last year

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 1023090230 NPPES
New Jersey MEDICAID PENDING
New Jersey Other P1388005
New Jersey MEDICAID 02759039

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