Provider Demographics
NPI:1134142656
Name:NEWMAN, ROBERT D (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 UNIVERSITY OF NEW MEXICO
Mailing Address - Street 2:PATHOLOGY MSC08 4640
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-4608
Mailing Address - Country:US
Mailing Address - Phone:505-272-2445
Mailing Address - Fax:505-272-2963
Practice Address - Street 1:2211 LOMAS BLVD NE
Practice Address - Street 2:PATHOLOGY DEPARTMENT
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2745
Practice Address - Country:US
Practice Address - Phone:505-272-2445
Practice Address - Fax:505-272-2963
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2012-10-10
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Provider Licenses
StateLicense IDTaxonomies
NMMD2008-0593207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT220000603Medicare ID - Type Unspecified
B38669Medicare UPIN