Healthcare Provider Details

I. General information

NPI: 1902338569
Provider Name (Legal Business Name): ANTOINETTE NEWMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 11/30/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10980 GRANTCHESTER WAY
COLUMBIA MD
21044-6097
US

IV. Provider business mailing address

10980 GRANTCHESTER WAY
COLUMBIA MD
21044-6097
US

V. Phone/Fax

Practice location:
  • Phone: 240-434-7908
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberD0101592
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD600003095
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: