Provider Demographics
NPI:1164497129
Name:NEWMAN, STEPHEN LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LAWRENCE
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:550 EAST 12TH AVENUE
Mailing Address - Street 2:APT 1607
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2529
Mailing Address - Country:US
Mailing Address - Phone:732-267-2384
Mailing Address - Fax:732-920-8066
Practice Address - Street 1:550 EAST 12TH AVENUE
Practice Address - Street 2:APT 1607
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2529
Practice Address - Country:US
Practice Address - Phone:732-267-2384
Practice Address - Fax:732-920-8066
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD61021963207R00000X, 207RP1001X
MT90027207RP1001X
NJ25MA04804400207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
D20051Medicare UPIN
518629Medicare ID - Type Unspecified