Provider Demographics
NPI:1992898720
Name:WINFIELD, BARBARA ANN (DO)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:WINFIELD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 COOPER RD STE 3
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3814
Mailing Address - Country:US
Mailing Address - Phone:856-751-1777
Mailing Address - Fax:856-751-8090
Practice Address - Street 1:805 COOPER RD
Practice Address - Street 2:SUITE 3
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3814
Practice Address - Country:US
Practice Address - Phone:856-751-1777
Practice Address - Fax:856-751-8090
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB066798207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8074208Medicaid
558697OtherMEDICARE PTAN (GROUP)
NJ8074208Medicaid
NJ028448Medicare PIN
NJG97022Medicare UPIN