Provider Demographics
NPI:1194053702
Name:YEILDING, NEWMAN M III (MD)
Entity type:Individual
Prefix:
First Name:NEWMAN
Middle Name:M
Last Name:YEILDING
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19003-2507
Mailing Address - Country:US
Mailing Address - Phone:610-649-6847
Mailing Address - Fax:
Practice Address - Street 1:129 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:PA
Practice Address - Zip Code:19003-2507
Practice Address - Country:US
Practice Address - Phone:610-649-6847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-038019-E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine