Provider Demographics
NPI:1952516411
Name:ALEXANDER N. NEWMAN, MD, PA
Entity type:Organization
Organization Name:ALEXANDER N. NEWMAN, MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:N
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-851-3934
Mailing Address - Street 1:204 ASHVILLE AVE
Mailing Address - Street 2:SUITE 60
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518
Mailing Address - Country:US
Mailing Address - Phone:919-851-3934
Mailing Address - Fax:919-851-3608
Practice Address - Street 1:204 ASHVILLE AVE
Practice Address - Street 2:SUITE 60
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518
Practice Address - Country:US
Practice Address - Phone:919-851-3934
Practice Address - Fax:919-851-3608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC36786208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC011KEOtherBCBS
NC24601OtherCIGNA
NC4583478OtherAETNA
NC0155856OtherUNITED HEALTHCARE
NC24601OtherCIGNA
NC2213181BMedicare ID - Type Unspecified