Provider Demographics
NPI:1144303421
Name:WINARSKY, ERIC LEE (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:LEE
Last Name:WINARSKY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1131 BROAD STREET
Mailing Address - Street 2:SUITE102
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702
Mailing Address - Country:US
Mailing Address - Phone:732-389-2500
Mailing Address - Fax:732-389-2820
Practice Address - Street 1:1131 BROAD STREET
Practice Address - Street 2:SUITE102
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702
Practice Address - Country:US
Practice Address - Phone:732-389-2500
Practice Address - Fax:732-389-2820
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2015-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03369300207YS0012X, 207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
No207YS0012XAllopathic & Osteopathic PhysiciansOtolaryngologySleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
C54459Medicare UPIN