Individual
ANDREW B NEWBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
925 CHESTNUT ST, SUITE 120, PHILADELPHIA, PA 19107-4216
(215) 503-3422
Mailing address
925 CHESTNUT ST, SUITE 120, PHILADELPHIA, PA 19107-4216
(215) 503-3422
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
MD057772L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017723070003
—
PA
05
—
0017723070016
—
PA
05
—
9039708
—
NJ
Enumeration date
06/29/2006
Last updated
03/06/2013
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