Provider Demographics
NPI:1801137864
Name:NEWMAN, DANIEL J (MS)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:J
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 MEADOWBROOK RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5231
Mailing Address - Country:US
Mailing Address - Phone:203-913-7471
Mailing Address - Fax:
Practice Address - Street 1:55 MEADOWBROOK RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5231
Practice Address - Country:US
Practice Address - Phone:203-913-7471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist