Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD443704 | PA |
N | 111NI0900X | Internist | MD443704 | PA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D66426 | MD |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD443704 | PA |
NPI | 1063606150 |
---|---|
Provider Name | Marisha T Newton |
First Address | Belfast, ME 04915-4017 |
Second Address | Annapolis, MD 21401-7992 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2007 |
Last Update Date | 24/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
102639387 | (05) | PA |
1603035 | GATEWAY (01) | PA |
2660608 | HIGHMARK BLUE SHIELD (01) | PA |
417545 | UPMC (01) | PA |