Provider Demographics
NPI:1265520191
Name:NEWTON, BENJAMIN R (MD)
Entity type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:R
Last Name:NEWTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:230 WATERFORD PARKWAY SOUTH
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385
Mailing Address - Country:US
Mailing Address - Phone:860-444-3744
Mailing Address - Fax:860-271-4457
Practice Address - Street 1:230 WATERFORD PARKWAY SOUTH
Practice Address - Street 2:SUITE 201
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385
Practice Address - Country:US
Practice Address - Phone:860-444-3744
Practice Address - Fax:860-271-4457
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2015-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA226893207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine