MEDICARE: DR. LAWRENCE M. NEWMAN 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	207R00000X	Internal Medicine Physician	43616	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	61974	OTHER	MA	HARVARD PILGRIM
2	043260860	OTHER		HCVM
3	043260860	OTHER		CIGNA
4	B08024	OTHER	MA	BLUE CROSS BLUE SHIELD
5	0400424	OTHER	MA	EVERCARE
6	16083	OTHER	MD	FALLON COMMUNITY HEALTH
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	0400822	OTHER	MA	UNITED HEALTHCARE
10	706099	OTHER	MA	TUFTS HEALTH PLAN
11	75323	OTHER	MA	AETNA

General Provider Information

NPI Number	:	1548229727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAWRENCE M. NEWMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 1413
Second Line	:
City	:	WELLFLEET
State	:	MA
Zip	:	02667
Country	:	US
Telephone Number	:	508-240-0208
Fax Number	:	508-240-0499

Provider Business Practice Location Address
First Line	:	3130 STATE HWY. RTE 6
Second Line	:
City	:	WELLFLEET
State	:	MA
Zip	:	02667
Country	:	US
Telephone Number	:	508-349-3131
Fax Number	:	508-349-1311

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

Provider Enumeration Date	:	03/17/2006
Last Update Date	:	12/19/2011

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Directions to “ DR. LAWRENCE M. NEWMAN MD” Practice Location

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