MEDICARE: JOSEPH ROYAL NEWTON MD

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	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	0101047330	VA

General Provider Information

NPI Number	:	1356333421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH ROYAL NEWTON MD

Provider Business Mailing Address
First Line	:	600 GRESHAM DR STE 8600
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23507-1904
Country	:	US
Telephone Number	:	757-388-6005
Fax Number	:	757-388-6006

Provider Business Practice Location Address
First Line	:	600 GRESHAM DR STE 8600
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23507-1904
Country	:	US
Telephone Number	:	757-388-6005
Fax Number	:	757-388-6006

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	09/23/2024

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