Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 25MB05524000 | NJ |
Y | 207QA0505X | Family Doctor - Adult Medicine | 25MB05524000 | NJ |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 25MB05524000 | NJ |
N | 207R00000X | Internist | OS8714 | FL |
N | 111NI0900X | Internist | OS8714 | FL |
NPI | 1164535241 |
---|---|
Provider Name | Dean Newton |
First Address | Boynton Beach, FL 33436-7381 |
Second Address | Boynton Beach, FL 33436-7381 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 01/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
161679 | (02) | NJ |
F34338 | (02) | FL |