Healthcare Provider Details

I. General information

NPI: 1568556702
Provider Name (Legal Business Name): ROBERT HOWE, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 06/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 MAPLE ST
EAST LONGMEADOW MA
01028-2712
US

IV. Provider business mailing address

281 MAPLE ST
EAST LONGMEADOW MA
01028-2712
US

V. Phone/Fax

Practice location:
  • Phone: 413-525-5160
  • Fax: 413-525-5170
Mailing address:
  • Phone: 413-525-5160
  • Fax: 413-525-5170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number219908
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number71308
License Number StateMA
# 3
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number71308
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number71308
License Number StateMA

VIII. Authorized Official

Name: ROBERT S HOWE
Title or Position: PROVIDER
Credential: MD
Phone: 413-525-5160