Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 38112 | MA |
N | 111NI0900X | Internist | 38112 | MA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 38112 | MA |
NPI | 1023078938 |
---|---|
Provider Name | Jack A Howard |
First Address | Dartmouth, MA 02747-1242 |
Second Address | Dartmouth, MA 02747-1242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2006 |
Last Update Date | 12/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2070464 | (05) | MA |
B73526 | (02) |