Healthcare Provider Details

I. General information

NPI: 1770162190
Provider Name (Legal Business Name): JOSEPH MICHAEL HOWARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2021
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 TSIENNETO RD STE 300
DERRY NH
03038-1584
US

IV. Provider business mailing address

50 N DUNLAP ST FL 6
MEMPHIS TN
38103-2800
US

V. Phone/Fax

Practice location:
  • Phone: 603-216-0400
  • Fax:
Mailing address:
  • Phone: 901-287-6210
  • Fax: 901-287-4581

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number39456
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: