Healthcare Provider Details

I. General information

NPI: 1134895501
Provider Name (Legal Business Name): NEWMAN MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 07/22/2024
Certification Date: 07/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 MEDICAL CENTER DR STE 105
LARGO MD
20774-3703
US

IV. Provider business mailing address

9500 MEDICAL CENTER DR STE 105
LARGO MD
20774-3703
US

V. Phone/Fax

Practice location:
  • Phone: 301-615-4133
  • Fax: 380-390-5398
Mailing address:
  • Phone: 301-615-4133
  • Fax: 380-390-5398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL NEWMAN
Title or Position: PRESIDENT
Credential: MD
Phone: 301-615-4133