Provider Demographics
NPI:1629194618
Name:NEWMAN, CHARLES EDWIN JR (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:EDWIN
Last Name:NEWMAN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 N MILLS AVE
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32803-5736
Mailing Address - Country:US
Mailing Address - Phone:407-481-9505
Mailing Address - Fax:407-481-9506
Practice Address - Street 1:444 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-5736
Practice Address - Country:US
Practice Address - Phone:407-481-9505
Practice Address - Fax:407-481-9506
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98267208200000X
NC104466208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery