Provider Demographics
NPI:1528665999
Name:NDINGWAN, NEWTIN NDE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:NEWTIN
Middle Name:NDE
Last Name:NDINGWAN
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9011 BRUNO RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-3613
Mailing Address - Country:US
Mailing Address - Phone:443-379-3770
Mailing Address - Fax:
Practice Address - Street 1:9820 BELAIR RD
Practice Address - Street 2:
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9741
Practice Address - Country:US
Practice Address - Phone:410-526-1460
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27617183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist