Individual
MARY LYNN NEWPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-6600
(860) 679-6604
Mailing address
65 KANE ST, WEST HARTFORD, CT 06119-2110
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
032991
CT
Other
Enumeration date
06/28/2005
Last updated
10/05/2007
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