Provider Demographics
NPI:1679736128
Name:NEWBURN, ANDREW DWIGHT (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DWIGHT
Last Name:NEWBURN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:340 OXFORD ST STE 310
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:OH
Mailing Address - Zip Code:44622-1966
Mailing Address - Country:US
Mailing Address - Phone:330-364-8011
Mailing Address - Fax:330-364-0058
Practice Address - Street 1:340 OXFORD ST STE 310
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-1966
Practice Address - Country:US
Practice Address - Phone:330-364-8011
Practice Address - Fax:330-364-0058
Is Sole Proprietor?:No
Enumeration Date:2008-07-04
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.096523208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics