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Individual

MARK W NEWBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2411
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301067531
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0D161147
BCBS
MI
01
1598712390
GROUP NPI
MI
05
4770905
MI
05
4770950
MI
05
4771107
MI
05
4773836
MI
05
4774029
MI
Enumeration date
05/24/2006
Last updated
04/14/2026
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