| Dr Tyree Ms Winters, DO | |
|
405 Hurffville Crosskeys Rd, Suite 203, Sewell, NJ 08080-9340 | |
| (856) 582-0033 | |
| (856) 582-2305 |
| Full Name | Dr Tyree Ms Winters |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 405 Hurffville Crosskeys Rd, Sewell, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124212865 | NPI | - | NPPES |
| 0052568 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 34009546 (Ohio) | Secondary |
| 208000000X | Pediatrics | 25MB09747200 (New Jersey) | Primary |
| Entity Name | Newark Beth Israel Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033210323 PECOS PAC ID: 3173437464 Enrollment ID: O20031119000754 |
| Entity Name | Practice Associates Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427016385 PECOS PAC ID: 5890703177 Enrollment ID: O20060330000690 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tyree Ms Winters, DO 405 Hurffville Crosskeys Rd, Suite 203, Sewell, NJ 08080-9340 Ph: (856) 582-0033 | Dr Tyree Ms Winters, DO 405 Hurffville Crosskeys Rd, Suite 203, Sewell, NJ 08080-9340 Ph: (856) 582-0033 |
Clare Stephens, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1474 Tanyard Road, Suite D102, Sewell, NJ 08080 Phone: 856-566-7045 Fax: 856-566-6850 | |
Dr. Renuka Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 123 Egg Harbor Rd, Tower Commons Ste 206, Sewell, NJ 08080 Phone: 856-227-5437 Fax: 856-227-5890 | |
Dr. Jared A Pasternak, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 269 Fish Pond Rd, Sewell, NJ 08080 Phone: 856-863-9999 Fax: 856-863-9666 | |
Eileen Condren, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080 Phone: 856-582-0033 Fax: 856-582-2305 | |
Dr. Kevin J Kargman, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 438 Ganttown Rd Ste A7, Sewell, NJ 08080 Phone: 856-589-0011 Fax: 856-589-5015 | |
Dr. Wendy S. Cook, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080 Phone: 856-582-0033 Fax: 856-582-2305 |