Provider Demographics
NPI:1508950155
Name:NEWTON, OLIVIA (DPM)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:
Last Name:NEWTON
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 SEWALL ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-2644
Mailing Address - Country:US
Mailing Address - Phone:207-761-3889
Mailing Address - Fax:207-761-1874
Practice Address - Street 1:5 ABBY RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-5513
Practice Address - Country:US
Practice Address - Phone:207-893-1989
Practice Address - Fax:207-893-0190
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPOD 1059213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery