Healthcare Provider Details

I. General information

NPI: 1134363526
Provider Name (Legal Business Name): DANIEL ARI NEWMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2009
Last Update Date: 07/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 EUCLID ST NW CHILDREN'S HEALTH CENTER AT ADAMS MORGAN
WASHINGTON DC
20009-5675
US

IV. Provider business mailing address

1630 EUCLID STREET, NW CHILDREN'S HEALTH CENTER AT ADAMS MORGAN
WASHINGTON DC
20009-0000
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-5580
  • Fax:
Mailing address:
  • Phone: 617-512-0381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD040684
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: