Healthcare Provider Details

I. General information

NPI: 1508997180
Provider Name (Legal Business Name): KAREN G NEWMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 05/06/2020
Certification Date: 05/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 PLYMOUTH RD SUITE 215
PLYMOUTH MESTRY PA
19462-1667
US

IV. Provider business mailing address

523 PLYMOUTH RD SUITE 215
PLYMOUTH MESTRY PA
19462-1667
US

V. Phone/Fax

Practice location:
  • Phone: 610-874-5257
  • Fax: 610-874-7241
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD042376E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: