Provider Demographics
NPI:1639115850
Name:NEWMAN, DAVID (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:NEWMAN
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:PO BOX 639
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-0639
Mailing Address - Country:US
Mailing Address - Phone:973-912-4433
Mailing Address - Fax:973-912-4435
Practice Address - Street 1:241 MILLBURN AVE # C
Practice Address - Street 2:
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1739
Practice Address - Country:US
Practice Address - Phone:973-912-4433
Practice Address - Fax:973-912-4435
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2019-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA47348207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ538852XDWMedicare PIN