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Individual

BRIAN KEITH NEWSOME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
74 VALLEY ST., NEWARK, NJ 07106
(862) 306-4670
Mailing address
79 WASHINGTON ST, EAST ORANGE, NJ 07017-1047
(862) 306-4670

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
02/03/2025
Last updated
02/03/2025
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