Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 21765 | SC |
Y | 207X00000X | Orthopaedic Surgeon | MD19177 | ME |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD19177 | ME |
NPI | 1356392369 |
---|---|
Provider Name | Dr. Michael T Newman |
First Address | Albany, NY 12201-1638 |
Second Address | Farmington, ME 04938-5501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 22/11/2021 |