MEDICARE: DR. MARCELA PAOLA NEWMAN DDS, MS

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	1223G0001X	General Practice Dentistry	18281	MI
2	122300000X	Dentist	DN18.470	FL

General Provider Information

NPI Number	:	1457453607
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARCELA PAOLA NEWMAN DDS, MS

Provider Business Mailing Address
First Line	:	1195 WEEPING WILLOW WAY
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-4817
Country	:	US
Telephone Number	:	954-665-0352
Fax Number	:

Provider Business Practice Location Address
First Line	:	1195 WEEPING WILLOW WAY
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33019-4817
Country	:	US
Telephone Number	:	954-665-0352
Fax Number	:

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	09/21/2010

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