Individual
JANICE MAY NEWSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
500 J CLYDE MORRIS BLVD, RIVERSIDE REGIONAL MEDICAL CENTER, NEWPORT NEWS, VA 23601-1929
(757) 594-4405
(757) 594-3547
Mailing address
PO BOX 12087, NEWPORT NEWS, VA 23612-2087
(757) 867-6102
(757) 867-6587
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101055340
VA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
0101055340
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010204232
—
VA
01
—
P00261190
RAILROAD MEDICARE
VA
Enumeration date
01/16/2007
Last updated
08/15/2013
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