Individual
DENNIS E NEWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 GRAND CENTRAL MALL, SUITE 4, VIENNA, WV 26105-4131
(304) 485-3300
(304) 485-3317
Mailing address
800 GRAND CENTRAL MALL, SUITE 4, VIENNA, WV 26105-4131
(304) 485-3300
(304) 485-3317
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15555
WV
207Q00000X
Family Medicine Physician
35.057511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0042551000
—
WV
01
—
080150817
WV RAILROAD MEDICARE
WV
05
—
0815149
—
OH
01
—
P00368910
RAILROAD MEDICARE PIN
OH
Enumeration date
05/24/2005
Last updated
03/31/2011
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