Most Relevant Information
Provider Data
| NPI Number: | 1003528019 |
| Provider Name: | CAITLYN NICOLE NEWSOM PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 25MP00755800 |
Most Important Dates
| Enumeration Date: | 12/21/2022 |
| Last Updated: | 12/21/2022 |
Provider Practice Location
557 CRANBURY RD
EAST BRUNSWICK
NJ
088165419
Practice Location Phone/Fax
| Phone: | 7326130500 |
| Fax: |
Provider Mailing Location
168 BILLOWS DR
MOUNT ROYAL
NJ
080611064
Provider Mailing Phone/Fax
| Phone: | 8564183720 |
| Fax: |