Doctor Name: | DR. KRISTINA MARIE NEWCOMER |
NPI Number: | 1134536238 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O |
License Number: | OS008049 |
Business Practice Address: | 496 Shelleys Ln Etters, PA - 173199412 |
Business Phone Number: | 7179386040 |
Business Fax Number: | |
Mailing Address: | 496 Shelleys Ln, ETTERS |
State: | PA |
Postal Code: | 173199412 |
Phone Number: | 7179386040 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2014 |
NPI Last Update Date: | 07/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | OS008049 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |