Basic Information
Provider Information
NPI: 1043232598
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WINNEG
FirstName: KAREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 829641
Address2: PHILADELPHIA
City: PA
State: PA
PostalCode: 19182
CountryCode: US
TelephoneNumber: 2673705296
FaxNumber: 2152303725
Practice Location
Address1: 708 N SHADY RETREAT RD STE 5
Address2:  
City: DOYLESTOWN
State: PA
PostalCode: 189012503
CountryCode: US
TelephoneNumber: 2153485888
FaxNumber: 2153487001
Other Information
ProviderEnumerationDate: 07/24/2006
LastUpdateDate: 01/10/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 01/10/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XMD042956LPAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home