Newberg, Andrew B
Newberg, Andrew B is an individual health care provider with primary practice located at 925 Chestnut St Suite 120, Philadelphia PA 19107-4216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nuclear Medicine, which is considered as his primary health care specialty. Newberg, Andrew B can be contacted via phone (215) 503-3422.Contact Information
Primary practice address
925 Chestnut St Suite 120
Philadelphia PA 19107-4216
Phone: (215) 503-3422
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | MD057772L | Pennsylvania |
Profile Details
NPI number | 1023046166 |
---|---|
LBN Legal business name | Newberg, Andrew B |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Mar 6th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1023046166 | NPPES |
Pennsylvania | MEDICAID | 0017723070016 | |
Pennsylvania | MEDICAID | 9039708 | |
Pennsylvania | MEDICAID | 0017723070003 |
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