Healthcare Provider Details
I. General information
NPI: 1235358656
Provider Name (Legal Business Name): HOWARD STEPHEN BRITT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/24/2007
Last Update Date: 01/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
209 BLACKBURN RD
SUMMIT NJ
07901-2325
US
IV. Provider business mailing address
209 BLACKBURN RD
SUMMIT NJ
07901-2325
US
V. Phone/Fax
- Phone: 908-273-3375
- Fax:
- Phone: 908-522-1423
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 25MA03456400 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | 25MA03456400 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: