Individual
DR. JONATHAN MICHAEL WINOGRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 PARKMAN STREET, WAC 453, BOSTON, MA 02114-3117
(617) 726-1915
(617) 726-5483
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-1915
(617) 726-5483
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
211623
MA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
211623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0150321
—
MA
01
—
211623
TUFTS HEALTH PLAN
MA
01
—
J23747
BCBS MA
MA
Enumeration date
04/01/2006
Last updated
11/13/2012
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