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Individual

DR. TYREE M.S. WINTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
405 HURFFVILLE CROSSKEYS RD, SUITE 203, SEWELL, NJ 08080-9340
(856) 582-0033
(856) 582-2305
Mailing address
405 HURFFVILLE CROSSKEYS RD, SUITE 203, SEWELL, NJ 08080-9340
(856) 582-0033
(856) 582-2305

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB09747200
NJ
208000000X
Pediatrics Physician
34009546
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0052568
OH
Enumeration date
09/05/2007
Last updated
08/08/2016
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