Provider Demographics
NPI:1124096565
Name:NEWMAN, ROBERT JAY (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:JAY
Last Name:NEWMAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9040 JACKSON AVE
Mailing Address - Street 2:MADIGAN ARMY MEDICAL CENTER - DEPARTMENT OF PEDIATRICS
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98431-1100
Mailing Address - Country:US
Mailing Address - Phone:253-968-1980
Mailing Address - Fax:253-968-5294
Practice Address - Street 1:MCHJ-P (PEDIATRICS)
Practice Address - Street 2:MADIGAN ARMY MEDICAL CENTER
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98431-1100
Practice Address - Country:US
Practice Address - Phone:253-968-1980
Practice Address - Fax:253-968-0384
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2020-01-29
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Provider Licenses
StateLicense IDTaxonomies
WAMD000458772080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology