Individual
WINNY OU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 BRISTOL DR, SOUTH EASTON, MA 02375-1100
(508) 565-7300
(508) 565-7335
Mailing address
21 BRISTOL DR, SOUTH EASTON, MA 02375-1199
(508) 350-2350
(508) 350-2318
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
48641
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0190713
—
MA
Enumeration date
09/14/2005
Last updated
08/07/2018
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