Provider Demographics
NPI:1063706968
Name:WILLIAM T NEWMAN MD
Entity type:Organization
Organization Name:WILLIAM T NEWMAN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:T
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-837-8877
Mailing Address - Street 1:259 OLD ROUTE 30
Mailing Address - Street 2:SUITE 30
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-6992
Mailing Address - Country:US
Mailing Address - Phone:724-837-8877
Mailing Address - Fax:724-837-3967
Practice Address - Street 1:259 OLD ROUTE 30
Practice Address - Street 2:SUITE 30
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6992
Practice Address - Country:US
Practice Address - Phone:724-837-8877
Practice Address - Fax:724-837-3967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD036499E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty