Healthcare Provider Details

I. General information

NPI: 1447249255
Provider Name (Legal Business Name): RICHARD A HOWARD JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 06/07/2024
Certification Date: 06/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 THOMAS JOHNSON DR
FREDERICK MD
21702-4501
US

IV. Provider business mailing address

74 THOMAS JOHNSON DR
FREDERICK MD
21702-4501
US

V. Phone/Fax

Practice location:
  • Phone: 301-694-9033
  • Fax: 301-694-6204
Mailing address:
  • Phone: 301-694-9033
  • Fax: 301-694-6204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD463229
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD463229
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: