Healthcare Provider Details

I. General information

NPI: 1134019631
Provider Name (Legal Business Name): RAYCE ALLEN NEWSWANGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 S FIFTH STREET
WEST READING PA
19611
US

IV. Provider business mailing address

50 INNOVATION WAY
WYOMISSING PA
19610-3901
US

V. Phone/Fax

Practice location:
  • Phone: 570-294-8620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMT238066
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: