Provider Demographics
NPI:1114184025
Name:NEW, DEENA RACHEL (MD)
Entity Type:Individual
Prefix:
First Name:DEENA
Middle Name:RACHEL
Last Name:NEW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 S 11TH AVE
Mailing Address - Street 2:APARTMENT B
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-3423
Mailing Address - Country:US
Mailing Address - Phone:973-818-4498
Mailing Address - Fax:
Practice Address - Street 1:277 S 11TH AVE
Practice Address - Street 2:APARTMENT B
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-3423
Practice Address - Country:US
Practice Address - Phone:973-818-4498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08371700207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology