MEDICARE: MARK NEWTON DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC010981	PA

General Provider Information

NPI Number	:	1750780458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK NEWTON DC

Provider Business Mailing Address
First Line	:	2653 SUMMIT AVE
Second Line	:
City	:	BROOMALL
State	:	PA
Zip	:	19008-1922
Country	:	US
Telephone Number	:	610-999-2172
Fax Number	:

Provider Business Practice Location Address
First Line	:	4885 W CHESTER PIKE STE 119
Second Line	:
City	:	NEWTOWN SQUARE
State	:	PA
Zip	:	19073-2213
Country	:	US
Telephone Number	:	610-999-2172
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2014
Last Update Date	:	09/15/2023

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Directions to “ MARK NEWTON DC” Practice Location

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