Organization
WINSTON C UMALI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINSTON CARAOS UMALI M.D., F.A.A.P. (PRESIDENT)
(201) 209-9007
Entity
Organization
Contact information
Practice address
395 DANFORTH AVE, JERSEY CITY, NJ 07305-1975
(201) 209-9007
Mailing address
PO BOX 15371, JERSEY CITY, NJ 07305-5371
(201) 209-9007
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25MA06963700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8004803
—
NJ
Enumeration date
01/21/2009
Last updated
01/21/2009
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