Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT206713 | PA |
N | 2080P0208X | Pediatric Infectious Diseases | 036146627 | IL |
Y | 2080P0208X | Pediatric Infectious Diseases | A172983 | CA |
NPI | 1063823680 |
---|---|
Provider Name | Alexander Michael Newman |
First Address | San Francisco, CA 94110-1215 |
Second Address | Chicago, IL 60611-2991 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2014 |
Last Update Date | 27/07/2021 |