Healthcare Provider Details

I. General information

NPI: 1104884576
Provider Name (Legal Business Name): JOHN S. HOWLAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 MAIN ST. SUITE 202
NORTH ADAMS MA
01247-3429
US

IV. Provider business mailing address

85 MAIN ST. SUITE 202
NORTH ADAMS MA
01247-3429
US

V. Phone/Fax

Practice location:
  • Phone: 413-664-4600
  • Fax: 413-664-4660
Mailing address:
  • Phone: 413-664-4600
  • Fax: 413-664-4660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number30855
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: