Individual
RAQUELLE SUZANNE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(888) 999-1212
Mailing address
6024 BEAKE ST, HYATTSVILLE, MD 20782-4058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32807
NE
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2019
Last updated
05/05/2025
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