1508997180 NPI number — KAREN G NEWMAN MD

Table of content: KAREN G NEWMAN MD (NPI 1508997180)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508997180 NPI number — KAREN G NEWMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NEWMAN
Provider First Name:
KAREN
Provider Middle Name:
G
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1508997180
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/06/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
523 PLYMOUTH RD
Provider Second Line Business Mailing Address:
SUITE 215
Provider Business Mailing Address City Name:
PLYMOUTH MESTRY
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19462-1667
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
523 PLYMOUTH RD
Provider Second Line Business Practice Location Address:
SUITE 215
Provider Business Practice Location Address City Name:
PLYMOUTH MESTRY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19462-1667
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-874-5257
Provider Business Practice Location Address Fax Number:
610-874-7241
Provider Enumeration Date:
03/08/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  MD042376E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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