Provider Demographics
NPI:1508020348
Name:WINKLE, TARYN (MD)
Entity Type:Individual
Prefix:
First Name:TARYN
Middle Name:
Last Name:WINKLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 ATWWOD ROAD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014
Mailing Address - Country:US
Mailing Address - Phone:410-838-9555
Mailing Address - Fax:410-838-5006
Practice Address - Street 1:615 W MAC PHAIL RD ST
Practice Address - Street 2:SUITE 107
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014
Practice Address - Country:US
Practice Address - Phone:410-838-9555
Practice Address - Fax:410-836-5056
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-10
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD78871208000000X
CAA101625208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty