Basic Information
| Provider Information | |||||||||
| NPI: | 1922023670 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WINFIELD | ||||||||
| FirstName: | HARRY | ||||||||
| MiddleName: | L | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3737 PARK EAST DRIVE | ||||||||
| Address2: | SUITE #202 | ||||||||
| City: | BEACHWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2164647770 | ||||||||
| FaxNumber: | 2164647531 | ||||||||
| Practice Location | |||||||||
| Address1: | 3737 PARK EAST DRIVE | ||||||||
| Address2: | SUITE #202 | ||||||||
| City: | BEACHWOOD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 44122 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2164647770 | ||||||||
| FaxNumber: | 2164647531 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2006 | ||||||||
| LastUpdateDate: | 10/20/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ND0900X | 35088113 | OH | Y | Allopathic & Osteopathic Physicians | Dermatology | Dermatopathology |
No ID Information.