Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | C10000885 | DE |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | CI0000885 | DE |
NPI | 1841261823 |
---|---|
Provider Name | William A Newcomb |
First Address | Newark, DE 19713 |
Second Address | Newark, DE 19713 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 10/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000065301 | (05) | DE |
B66513 | (02) |