Provider Demographics
NPI:1063499226
Name:NEWBERRY SURGICAL ASSOCIATES PA
Entity type:Organization
Organization Name:NEWBERRY SURGICAL ASSOCIATES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MATZINGEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-276-7172
Mailing Address - Street 1:2541 EVANS STREET
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108
Mailing Address - Country:US
Mailing Address - Phone:803-276-7172
Mailing Address - Fax:803-276-7175
Practice Address - Street 1:2541 EVANS STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108
Practice Address - Country:US
Practice Address - Phone:803-276-7172
Practice Address - Fax:803-276-7175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular SurgeryGroup - Single Specialty