Basic Information
Provider Information
NPI: 1669765145
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WINGER
FirstName: BETH
MiddleName: APSEL
NamePrefix: DR.
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 818 VAN NESS AVE
Address2: APT 308
City: SAN FRANCISCO
State: CA
PostalCode: 941097880
CountryCode: US
TelephoneNumber: 5103326296
FaxNumber:  
Practice Location
Address1: 505 PARNASSUS AVE # 110
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941432204
CountryCode: US
TelephoneNumber: 4154766245
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/17/2011
LastUpdateDate: 09/14/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0207XA124245CAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology

No ID Information.


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