Provider Demographics
NPI:1487704276
Name:NEWMAN, MICHAEL G (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:G
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 CUMMINGS CTR
Mailing Address - Street 2:STE 107C
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-6115
Mailing Address - Country:US
Mailing Address - Phone:978-232-1120
Mailing Address - Fax:978-232-0110
Practice Address - Street 1:100 CUMMINGS CTR
Practice Address - Street 2:STE 107C
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-6115
Practice Address - Country:US
Practice Address - Phone:978-232-1120
Practice Address - Fax:978-232-0110
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA79870207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3126196Medicaid
MA079870OtherTUFTS
MA2010200OtherAETNA
MA30302OtherHARVARD PILGRIM
MA36121OtherFALLON
MAJ30782OtherBLUE CROSS BLUE SHIELD
MA079870OtherTUFTS
MAE49590Medicare UPIN