Provider Demographics
NPI:1538195979
Name:NEWMIER, EUGENE J (DO)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:J
Last Name:NEWMIER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 DORCHESTER AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-2425
Mailing Address - Country:US
Mailing Address - Phone:410-228-1325
Mailing Address - Fax:
Practice Address - Street 1:321 DORCHESTER AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-2425
Practice Address - Country:US
Practice Address - Phone:410-228-1325
Practice Address - Fax:410-228-7936
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-25
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH0051793207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDS3260001OtherCARE FIRST BLUE CHOICE
MD546086OtherCARE FIRST BC & BS
MD680441100Medicaid
MDG46040Medicare UPIN
MD038M808EMedicare ID - Type Unspecified