Individual
ALYSSA NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
173 EAST AVENUE, NEW CANAAN, CT 06840
(203) 972-4250
(203) 801-2126
Mailing address
173 EAST AVENUE, NEW CANAAN, CT 06840
(203) 972-4250
(203) 801-2126
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
039737
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00139737300
BC FAM
—
01
—
00214304001
UHC
—
01
—
010039737CT1
ANTHEM BC
—
01
—
7233119
AETNA
—
01
—
P2497533
OXFORD
—
Enumeration date
11/29/2006
Last updated
07/08/2007
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