Healthcare Provider Details

I. General information

NPI: 1063683555
Provider Name (Legal Business Name): PHILIP NEWMAN, D.P.M.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2008
Last Update Date: 03/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 UNION AVE BUILDING 1, SUITE C
BRIDGEWATER NJ
08807-3002
US

IV. Provider business mailing address

201 UNION AVE BUILDING 1, SUITE C
BRIDGEWATER NJ
08807-3002
US

V. Phone/Fax

Practice location:
  • Phone: 908-231-1114
  • Fax: 908-252-1930
Mailing address:
  • Phone: 908-231-1114
  • Fax: 908-252-1930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number25MD000160100
License Number StateNJ

VIII. Authorized Official

Name: DR. PHILIP STEWEART NEWMAN
Title or Position: DOCTOR-OWNER
Credential: DPM
Phone: 908-231-1114