Provider Demographics
NPI:1639160328
Name:NEWMAN, ERIC (DO)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3970 PEKIOMEN AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2719
Mailing Address - Country:US
Mailing Address - Phone:610-779-1330
Mailing Address - Fax:610-779-7699
Practice Address - Street 1:3970 PEKIOMEN AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-2719
Practice Address - Country:US
Practice Address - Phone:610-779-1330
Practice Address - Fax:610-779-7699
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS008224L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF59873Medicare UPIN
PA020176M88Medicare ID - Type Unspecified