Healthcare Provider Details

I. General information

NPI: 1225106065
Provider Name (Legal Business Name): STEPHEN H HOWARD LIC. AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GATEWAY HEALTH ASSOCIATES 150 HARVARD ROAD
STOW MA
01775
US

IV. Provider business mailing address

GATEWAY HEALTH ASSOCIATES 150 HARVARD ROAD
STOW MA
01775
US

V. Phone/Fax

Practice location:
  • Phone: 978-897-9598
  • Fax:
Mailing address:
  • Phone: 978-897-9598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number125
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: