Provider Demographics
NPI:1558362459
Name:NEWCOMER, DAVID L (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:NEWCOMER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1560 LITITZ PIKE
Mailing Address - Street 2:STE. 2
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6523
Mailing Address - Country:US
Mailing Address - Phone:717-295-5454
Mailing Address - Fax:717-295-1585
Practice Address - Street 1:1560 LITITZ PIKE
Practice Address - Street 2:STE. 2
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6523
Practice Address - Country:US
Practice Address - Phone:717-295-5454
Practice Address - Fax:717-295-1585
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2011-08-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 017510-E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0007187470001Medicaid
PA0007187470001Medicaid
PA010059143Medicare PIN
PA072680HWDMedicare ID - Type Unspecified