Individual
JASON WINK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3400 SPRUCE ST, 10 PENN TOWER, PHILADELPHIA, PA 19104-4238
(732) 322-7926
Mailing address
201 S 25TH ST, APT. 315, PHILADELPHIA, PA 19103-6002
(732) 322-7926
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MT205730
PA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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