Healthcare Provider Details

I. General information

NPI: 1629199856
Provider Name (Legal Business Name): GRAHAM J. NEWSTEAD M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 TOLLGATE ROAD SUITE 204
WARWICK RI
02886-4448
US

IV. Provider business mailing address

300 TOLLGATE ROAD SUITE 204
WARWICK RI
02886-4448
US

V. Phone/Fax

Practice location:
  • Phone: 401-738-2400
  • Fax: 401-732-8953
Mailing address:
  • Phone: 401-738-2400
  • Fax: 401-732-8953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD04236
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD04236
License Number StateRI

VIII. Authorized Official

Name: GRAHAM JOHN NEWSTEAD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 401-738-2400