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Individual
WINSTON GEORGE DOUGLAS
Active
Individual
WINSTON GEORGE DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
208258-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010311504
UNIVERA
NY
01
—
000524891004
BLUECROSS BLUESHIELD
NY
05
—
01804580
—
NY
01
—
0409592
INDEPENDENT HEALTH
NY
01
—
P00052855
MEDICARE RAIL ROAD
NY
Enumeration date
06/27/2006
Last updated
04/16/2013
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