Jason B. Wynberg M.D.

NPI 1023090230 - Urology - 208800000X

NPI Details
NPI 1023090230
Gender Male
Enumeration Date 11/15/2005
Last Updated 12/21/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
1505 52ND ST.
BROOKLYN NY, 11219, US
Phone (718) 871-7500
Fax (718) 871-7511
Business Location
1853 61ST ST.
BROOKLYN NY, 11204, US
Phone (718) 871-7500
Fax (718) 871-7511
Toxanomy
Taxonomy Code 208800000X
License State Michigan
License Number 4301086135
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According to our database, Dr. Jason B. Wynberg M.D. NPI is 1023090230, taxonomy code is 208800000X and license number is 4301086135, license state is located at Michigan. Jason B. Wynberg M.D. physically located at 1505 52nd St., Brooklyn NY, 11219. NPI Number Jason B. Wynberg M.D. has the Individual type.

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1023090230 NPI number is provided on an as is basis without warranty of any kind. 1023090230 is maintained by the National Plan & Provider Enumeration System. The contents of Jason B. Wynberg M.D. are for informational purposes only.