Provider Demographics
NPI:1497184311
Name:WINCHESTER PHYSICIAN ASSOCIATES
Entity Type:Organization
Organization Name:WINCHESTER PHYSICIAN ASSOCIATES
Other - Org Name:DENNIS MARKOVITZ MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-756-7273
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-4260
Mailing Address - Country:US
Mailing Address - Phone:781-756-7273
Mailing Address - Fax:781-721-0725
Practice Address - Street 1:259 SWANTON ST
Practice Address - Street 2:SUITE A
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-4301
Practice Address - Country:US
Practice Address - Phone:781-721-4616
Practice Address - Fax:781-721-2687
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WINCHESTER PHYSICIAN ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty