MEDICARE: MARK G 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
1	207VM0101X	Maternal & Fetal Medicine Physician	13560R	LA

General Provider Information

NPI Number	:	1386643609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK G NEWMAN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 95009
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70895-9009
Country	:	US
Telephone Number	:	225-924-8338
Fax Number	:	225-922-3745

Provider Business Practice Location Address
First Line	:	9000 AIRLINE HWY
Second Line	:	STE. 370
City	:	BATON ROUGE
State	:	LA
Zip	:	70815-4114
Country	:	US
Telephone Number	:	225-924-8338
Fax Number	:	225-922-3745

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

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/08/2007

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Directions to “ MARK G NEWMAN M.D.” Practice Location

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