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Individual

DR. MICHAEL BENNETT NEWMAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
603 FLORAL VALE BLVD, YARDLEY, PA 19067-5528
(215) 968-6700
(215) 504-8373
Mailing address
456 E STONEY HILL CT, LANGHORNE, PA 19053-1937
(215) 752-0781

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001564L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016221400005
PA
01
0023118000
KEYSTONE EAST
PA
01
1149894
KEYSTONE MERCY
PA
01
SC001564L
PA. LISCENSE-PODIATRIC
PA
Enumeration date
05/03/2006
Last updated
07/08/2007
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