Provider Demographics
NPI:1629199856
Name:GRAHAM J. NEWSTEAD M.D., INC.
Entity Type:Organization
Organization Name:GRAHAM J. NEWSTEAD M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:NEWSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-738-2400
Mailing Address - Street 1:300 TOLLGATE ROAD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-4448
Mailing Address - Country:US
Mailing Address - Phone:401-738-2400
Mailing Address - Fax:401-732-8953
Practice Address - Street 1:300 TOLLGATE ROAD
Practice Address - Street 2:SUITE 204
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-4448
Practice Address - Country:US
Practice Address - Phone:401-738-2400
Practice Address - Fax:401-732-8953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD04236207K00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty