Basic Information
Provider Information
NPI: 1225273113
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEWMAN
FirstName: STEVEN
MiddleName: ALAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1100 CHAIN BRIDGE RD
Address2:  
City: MC LEAN
State: VA
PostalCode: 221012213
CountryCode: US
TelephoneNumber: 7037612851
FaxNumber: 3013170028
Practice Location
Address1: 900 S WASHINGTON ST
Address2:  
City: FALLS CHURCH
State: VA
PostalCode: 220464020
CountryCode: US
TelephoneNumber: 7035322500
FaxNumber: 3013170028
Other Information
ProviderEnumerationDate: 12/08/2008
LastUpdateDate: 04/22/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X0101239450VAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207L00000XMD00015610WAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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