Provider Demographics
NPI:1255512968
Name:NEWCOMER, ANGELA R (DC)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:R
Last Name:NEWCOMER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 GLENLIVET DR
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106-3104
Mailing Address - Country:US
Mailing Address - Phone:610-858-4556
Mailing Address - Fax:
Practice Address - Street 1:1124 GLENLIVET DR
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106-3104
Practice Address - Country:US
Practice Address - Phone:610-858-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-21
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009863111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor