Provider Demographics
NPI:1790241222
Name:NEWBORN CARE PHYSICIANS OF SOUTHEASTERN WISCONSIN, LLC
Entity Type:Organization
Organization Name:NEWBORN CARE PHYSICIANS OF SOUTHEASTERN WISCONSIN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEONATOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:415-264-1357
Mailing Address - Street 1:3070 N 51ST ST # P309
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-1645
Mailing Address - Country:US
Mailing Address - Phone:414-447-7330
Mailing Address - Fax:
Practice Address - Street 1:3070 N 51ST ST # P309
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1645
Practice Address - Country:US
Practice Address - Phone:414-447-7330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty