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Individual

MARK W NEWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
223 BULIFANTS BLVD STE C, WILLIAMSBURG, VA 23188-5734
(757) 258-2561
(757) 258-5936
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
0102037017
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005707919
VA
01
322590
ANTHEM
VA
Enumeration date
04/15/2008
Last updated
02/07/2020
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