MEDICARE: DEAN NEWTON DO

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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	25MB05524000	NJ
2	207R00000X	Internal Medicine Physician	OS8714	FL
3	207QA0505X	Adult Medicine Physician	25MB05524000	NJ
4	207Q00000X	Family Medicine Physician	25MB05524000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164535241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAN NEWTON DO

Provider Business Mailing Address
First Line	:	3795 W BOYNTON BEACH BLVD STE D
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4502
Country	:	US
Telephone Number	:	561-736-2001
Fax Number	:

Provider Business Practice Location Address
First Line	:	3795 W BOYNTON BEACH BLVD STE D
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4502
Country	:	US
Telephone Number	:	561-736-2001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	01/18/2024

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Directions to “ DEAN NEWTON DO” Practice Location

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