Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK NATHANIEL NEWMAN JR., M.D.
Active Sole ProprietorDR. JACK NATHANIEL NEWMAN JR., M.D. is a Cardiovascular Disease healthcare provider located in PHOENIX, Maryland. NPI 1215915012 is currently active in the NPPES registry. Verify at CMS.
Cardiovascular Disease · PHOENIX, MD
Registration Details
- NPI Number
- 1215915012
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2006 (20.645014233969 yrs)
- Last Updated
- Nov 9, 2017
- Licenses
-
99-01450 (NC)48806 (KY)D75445 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3903 BRIAR KNOLL CIRPHOENIX, MD, 211312132Browse MD providers · Browse ZIP 21131
- Phone
- 9196301616
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
- Additional Specialty
- Cardiovascular Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.