Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125065120 | IL |
N | 111NI0900X | Internist | 125065120 | IL |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 62967 | TN |
NPI | 1619394699 |
---|---|
Provider Name | Dr. Joshua David Newman |
First Address | Maywood, IL 60153-3328 |
Second Address | Nashville, TN 37232-3328 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2014 |
Last Update Date | 18/06/2021 |