Provider Demographics
NPI:1396808804
Name:DR. HARRIS M. NEWMAN, ASSOCIATES
Entity type:Organization
Organization Name:DR. HARRIS M. NEWMAN, ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HARRIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:215-723-7300
Mailing Address - Street 1:706 S COUNTYLINE RD
Mailing Address - Street 2:
Mailing Address - City:TELFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18969-1108
Mailing Address - Country:US
Mailing Address - Phone:215-723-7300
Mailing Address - Fax:215-723-8022
Practice Address - Street 1:706 S COUNTYLINE RD
Practice Address - Street 2:
Practice Address - City:TELFORD
Practice Address - State:PA
Practice Address - Zip Code:18969-1108
Practice Address - Country:US
Practice Address - Phone:215-723-7300
Practice Address - Fax:215-723-8022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003530L204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC31741Medicare UPIN