Healthcare Provider Details

I. General information

NPI: 1063419240
Provider Name (Legal Business Name): HOWARD W NEEDELMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 02/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 DODGE ST
OMAHA NE
68114-4113
US

IV. Provider business mailing address

PO BOX 49
PITTSBURGH PA
15230-0049
US

V. Phone/Fax

Practice location:
  • Phone: 402-955-6140
  • Fax: 402-955-3398
Mailing address:
  • Phone: 412-937-5949
  • Fax: 412-937-5705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number18307
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: