Individual
ROGER W NEWSOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3235 ACADEMY AVE, SUITE 200, PORTSMOUTH, VA 23703-3200
(757) 483-0400
Mailing address
1788 GREENSWARD QUAY, VIRGINIA BEACH, VA 23454-1141
(757) 496-3982
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101055448
VA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
Primary
0101055448
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
325053
ANTHEM
VA
Enumeration date
08/08/2006
Last updated
03/23/2017
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