Doctor Name: | DR. GABRIELLE DENIZE NEWSAM |
NPI Number: | 1740512938 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 2005-00959 |
Business Practice Address: | 2625 Appliance Ct Raleigh, NC - 276042468 |
Business Phone Number: | 9198347787 |
Business Fax Number: | |
Mailing Address: | 2625 Appliance Court, Raleigh Meps - RALEIGH |
State: | NC |
Postal Code: | 27604 |
Phone Number: | 9198347787 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2010 |
NPI Last Update Date: | 12/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2005-00959 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |