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Individual

WINSTON J SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
310 CENTRAL AVE, SUITE 206, EAST ORANGE, NJ 07018-2835
(973) 674-1070
(973) 674-0219
Mailing address
310 CENTRAL AVE, SUITE 206, EAST ORANGE, NJ 07018-2835
(973) 674-1070
(973) 674-0219

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38486
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0722405
NJ
Enumeration date
02/21/2007
Last updated
04/08/2014
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