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NPI Code Detail

MEDICARE: CATHLEEN R NEWBERG PT

MEDICARE: CATHLEEN R NEWBERG PT
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
1225100000XPhysical Therapist15670MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1KBC4H0-65049301OTHERMDBC/BS OF MARYLAND
2S404-0026OTHERMDCAREFIRST BC/BS

General Provider Information

NPI Number : 1871517508
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHLEEN R NEWBERG PT
Provider Business Mailing Address
First Line : 6707 DEMOCRACY BLVD STE 504
Second Line :
City : BETHESDA
State : MD
Zip : 20817-1166
Country : US
Telephone Number : 301-607-9096
Fax Number : 410-848-3909
Provider Business Practice Location Address
First Line : 6707 DEMOCRACY BLVD STE 504
Second Line :
City : BETHESDA
State : MD
Zip : 20817-1166
Country : US
Telephone Number : 301-607-9096
Fax Number : 410-848-3909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 08/26/2024

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Directions to “ CATHLEEN R NEWBERG PT” Practice Location

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