Provider Demographics
NPI:1295718732
Name:WINTER, STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:WINTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:66 INDEPENDENCE DR
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-3286
Mailing Address - Country:US
Mailing Address - Phone:732-407-8551
Mailing Address - Fax:732-257-8836
Practice Address - Street 1:66 INDEPENDENCE DR
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-3286
Practice Address - Country:US
Practice Address - Phone:732-407-8551
Practice Address - Fax:732-257-8836
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2019-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09607100207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC10995Medicare UPIN