Provider Demographics
NPI:1962575944
Name:NEWMAN, ANDREW B (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:B
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3351 EL CAMINO REAL STE 200
Mailing Address - Street 2:
Mailing Address - City:ATHERTON
Mailing Address - State:CA
Mailing Address - Zip Code:94027-3802
Mailing Address - Country:US
Mailing Address - Phone:650-328-5222
Mailing Address - Fax:650-324-4374
Practice Address - Street 1:3351 EL CAMINO REAL STE 200
Practice Address - Street 2:
Practice Address - City:ATHERTON
Practice Address - State:CA
Practice Address - Zip Code:94027-3802
Practice Address - Country:US
Practice Address - Phone:650-328-5222
Practice Address - Fax:650-324-4374
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG32075207RS0010X, 2083P0011X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0010XAllopathic & Osteopathic PhysiciansInternal MedicineSports Medicine
No2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA44992Medicare UPIN