Provider Demographics
NPI:1558345835
Name:NEWTON, ALICE WHITTIER (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICE
Middle Name:WHITTIER
Last Name:NEWTON
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 1:465 WAVERLEY OAKS RD
Mailing Address - Street 2:STE 100
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-8438
Mailing Address - Country:US
Mailing Address - Phone:781-891-3706
Mailing Address - Fax:781-891-3564
Practice Address - Street 1:465 WAVERLEY OAKS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8438
Practice Address - Country:US
Practice Address - Phone:781-891-3706
Practice Address - Fax:781-891-3564
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA77762208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110058546AMedicaid
MAJ18063OtherBCBS MA
MA077762OtherTUFTS HEALTH PLAN
MAA2255802Medicare PIN
G46916Medicare UPIN