Healthcare Provider Details

I. General information

NPI: 1295199719
Provider Name (Legal Business Name): RAYMOND JOSEPH HOWARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2016
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 NORTHPORT AVE FL 1
BELFAST ME
04915-6069
US

IV. Provider business mailing address

119 NORTHPORT AVE FL 1
BELFAST ME
04915-6069
US

V. Phone/Fax

Practice location:
  • Phone: 207-505-4567
  • Fax: 207-536-2794
Mailing address:
  • Phone: 207-505-4567
  • Fax: 207-536-2794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number56917
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD25282
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number56917
License Number StateTN
# 4
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD25282
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: