Provider Demographics
NPI:1104178813
Name:NEWMAN, ADAM M (PA)
Entity Type:Individual
Prefix:MR
First Name:ADAM
Middle Name:M
Last Name:NEWMAN
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Gender:M
Credentials:PA
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Mailing Address - Street 1:UNIVERSITY OF NEW MEXICO HOSPITAL DEPARTMENT
Mailing Address - Street 2:MSC 10 5610, 1 UNIVERSITY OF NEW MEXICO
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF NEW MEXICO HOSPITAL DEPARTMENT
Practice Address - Street 2:MSC 10 5610, 1 UNIVERSITY OF NEW MEXICO
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-2325
Practice Address - Fax:866-595-6062
Is Sole Proprietor?:No
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
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Provider Licenses
StateLicense IDTaxonomies
NMPA2012-0032363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical