Provider Demographics
NPI:1891422093
Name:NEWMAN, ATOSH SR
Entity Type:Individual
Prefix:MR
First Name:ATOSH
Middle Name:
Last Name:NEWMAN
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6119 BLACKSMITH DR
Mailing Address - Street 2:
Mailing Address - City:DISTRICT HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20747-5906
Mailing Address - Country:US
Mailing Address - Phone:301-814-3056
Mailing Address - Fax:
Practice Address - Street 1:28 GALVESTON PL SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-2065
Practice Address - Country:US
Practice Address - Phone:202-436-6190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant