Provider Demographics
NPI:1619098027
Name:NEWMAN & HAHN, M.D., P.C.
Entity Type:Organization
Organization Name:NEWMAN & HAHN, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBBI
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-232-1120
Mailing Address - Street 1:100 CUMMINGS CTR
Mailing Address - Street 2:STE 107C
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-232-1120
Mailing Address - Fax:978-232-0110
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:STE 107C
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-232-1120
Practice Address - Fax:978-232-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA609585OtherTUFTS
MA9756248Medicaid
MADA5676OtherRAILROAD MEDICARE
MAM14753OtherBLUE CROSS BLUE SHIELD
MA0019920OtherNEIGHBORHOOD HEALTH PLAN
MA52410OtherFALLON
MA2888795OtherAETNA
MAM14753Medicare ID - Type Unspecified