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Individual

DR. JONATHAN MICHAEL WINOGRAD

Active
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Individual

DR. JONATHAN MICHAEL WINOGRAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
211623
MA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
211623
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150321
—
MA
01
—
211623
TUFTS HEALTH PLAN
MA
01
—
J23747
BCBS MA
MA
Enumeration date
04/01/2006
Last updated
11/13/2012
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