Provider Demographics
NPI:1437106879
Name:NEWMAN, MICHAEL ERIC (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ERIC
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 BUTLER PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1800
Mailing Address - Country:US
Mailing Address - Phone:610-941-6111
Mailing Address - Fax:610-941-6009
Practice Address - Street 1:2050 BUTLER PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:PLYMOUTH MEETING
Practice Address - State:PA
Practice Address - Zip Code:19462-1800
Practice Address - Country:US
Practice Address - Phone:610-941-6111
Practice Address - Fax:610-941-6009
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002887L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA464446OtherMEDICARE ID
PA1061083Medicaid
T30575Medicare UPIN
PA1061083Medicaid