Provider Demographics
NPI:1609864867
Name:NEWMAN, ALFRED J JR (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:J
Last Name:NEWMAN
Suffix:JR
Gender:M
Credentials:MD PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1722 PINE ST STE 903
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1104
Mailing Address - Country:US
Mailing Address - Phone:334-265-6933
Mailing Address - Fax:334-265-7415
Practice Address - Street 1:1722 PINE ST STE 903
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1104
Practice Address - Country:US
Practice Address - Phone:334-265-6933
Practice Address - Fax:334-265-7415
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2023-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL8045208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL82994OtherBLUE CROSS
AL00082994Medicaid
AL82994OtherBLUE CROSS
AL82994Medicare ID - Type Unspecified