Healthcare Provider Details

I. General information

NPI: 1467650697
Provider Name (Legal Business Name): SHARON ANN NEWPORT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 01/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 OLD POST RD NO 2
GREENWICH CT
06830-6786
US

IV. Provider business mailing address

57 OLD POST RD NO 2
GREENWICH CT
06830-6786
US

V. Phone/Fax

Practice location:
  • Phone: 203-661-6430
  • Fax: 203-661-2597
Mailing address:
  • Phone: 203-661-6430
  • Fax: 203-661-2597

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number234167-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: