Provider Demographics
NPI:1902888779
Name:WINCHESTER MEDICAL ASSOCIATES
Entity type:Organization
Organization Name:WINCHESTER MEDICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:SANDEE
Authorized Official - Last Name:BABINEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-763-4025
Mailing Address - Street 1:PO BOX 50134
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-0005
Mailing Address - Country:US
Mailing Address - Phone:508-763-4025
Mailing Address - Fax:508-763-4303
Practice Address - Street 1:955 MAIN STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-4303
Practice Address - Country:US
Practice Address - Phone:508-763-4025
Practice Address - Fax:508-763-4303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Not Answered246X00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0005787OtherNEIGHBORHOOD PLAND
MA9707867Medicaid
MAM15052OtherBCBS
MAM15052OtherBCBS GROUP ID
MA6190EKGOtherPILGRIM
MAB53095OtherMEDEX
MAC14509OtherRR MEDICARE
MA042499600000EOtherUNITED HEALTH
MA701880OtherTUFTS
MA701880OtherSH MEDICARE PREFERRED
MAM15052OtherBCBS GROUP ID
MAB53095OtherMEDEX