Individual
IVAN DAVID WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9226 KENNEDY BLVD FL 2, NORTH BERGEN, NJ 07047-5312
(201) 863-3055
(201) 863-5744
Mailing address
9226 KENNEDY BLVD, NORTH BERGEN, NJ 07047-5312
(973) 723-4476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA05367900
NJ
Other
Enumeration date
07/30/2012
Last updated
03/16/2018
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