Individual
MARISHA T NEWTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2003 MEDICAL PKWY, G90, ANNAPOLIS, MD 21401-7992
(443) 481-4600
(443) 481-3990
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6481
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD443704
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
D66426
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD443704
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102639387
—
PA
01
—
1603035
GATEWAY
PA
01
—
2660608
HIGHMARK BLUE SHIELD
PA
01
—
417545
UPMC
PA
Enumeration date
08/31/2007
Last updated
06/24/2016
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