MEDICARE: NEWMAN MEDICAL GROUP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207QH0002X	Hospice and Palliative Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1134895501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWMAN MEDICAL GROUP PC

Provider Business Mailing Address
First Line	:	9500 MEDICAL CENTER DR STE 105
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-3703
Country	:	US
Telephone Number	:	301-615-4133
Fax Number	:	380-390-5398

Provider Business Practice Location Address
First Line	:	9500 MEDICAL CENTER DR STE 105
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-3703
Country	:	US
Telephone Number	:	301-615-4133
Fax Number	:	380-390-5398

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PAUL NEWMAN
Credential	:	MD
Telephone Number	:	301-615-4133

Provider Enumeration Date	:	08/17/2021
Last Update Date	:	07/22/2024

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