Doctor Name: | MS. ANISSA HOLLY NEWMAN |
NPI Number: | 1275603169 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 1051 |
Business Practice Address: | 340 Montague City Rd Turners Falls, MA - 01376 |
Business Phone Number: | 4137743111 |
Business Fax Number: | 4135020080 |
Mailing Address: | Po Box 1003, 80 Petticoat Hill Rd WILLIAMSBURG |
State: | MA |
Postal Code: | 010961003 |
Phone Number: | 4133743704 |
Fax Number: | 4135020080 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 03/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |