Healthcare Provider Details

I. General information

NPI: 1477832137
Provider Name (Legal Business Name): ANDREW B NEWMAN M D APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2011
Last Update Date: 04/02/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3351 EL CAMINO REAL STE 200
ATHERTON CA
94027-3802
US

IV. Provider business mailing address

3351 EL CAMINO REAL STE 200
ATHERTON CA
94027-3802
US

V. Phone/Fax

Practice location:
  • Phone: 650-328-5222
  • Fax: 650-324-4374
Mailing address:
  • Phone: 650-328-5222
  • Fax: 650-324-4374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG32075
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License NumberG32075
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License NumberG32075
License Number StateCA

VIII. Authorized Official

Name: DR. ANDREW B. NEWMAN
Title or Position: C.E.O.
Credential: M.D.
Phone: 650-328-5222