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NPI Code Detail

MEDICARE: DR. STEPHEN LAWRENCE NEWMAN M.D.

MEDICARE: DR. STEPHEN LAWRENCE NEWMAN M.D.
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
1207R00000XInternal Medicine PhysicianMD61021963WA
2207RP1001XPulmonary Disease Physician90027MT

General Provider Information

NPI Number : 1164497129
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN LAWRENCE NEWMAN M.D.
Provider Business Mailing Address
First Line : 550 EAST 12TH AVENUE
Second Line : APT 1607
City : DENVER
State : CO
Zip : 80203-2529
Country : US
Telephone Number : 732-267-2384
Fax Number : 732-920-8066
Provider Business Practice Location Address
First Line : 550 EAST 12TH AVENUE
Second Line : APT 1607
City : DENVER
State : CO
Zip : 80203-2529
Country : US
Telephone Number : 732-267-2384
Fax Number : 732-920-8066
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 09/25/2020

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