Individual
DR. JACK NATHANIEL NEWMAN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3903 BRIAR KNOLL CIR, PHOENIX, MD 21131-2132
(919) 630-1616
Mailing address
3903 BRIAR KNOLL CIR, PHOENIX, MD 21131-2132
(919) 630-1616
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
48806
KY
207RC0000X
Cardiovascular Disease Physician
99-01450
NC
207RC0000X
Cardiovascular Disease Physician
Primary
D75445
MD
Other
Enumeration date
01/03/2006
Last updated
11/09/2017
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