Healthcare Provider Details

I. General information

NPI: 1861574295
Provider Name (Legal Business Name): MARIA LANIA-HOWARTH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 04/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6400 MAIN ST MAIN STREET COMPLEX
VOORHEES NJ
08043-4606
US

IV. Provider business mailing address

6400 MAIN ST MAIN STREET COMPLEX
VOORHEES NJ
08043-4606
US

V. Phone/Fax

Practice location:
  • Phone: 856-751-9339
  • Fax: 856-751-8940
Mailing address:
  • Phone: 856-751-9339
  • Fax: 856-751-8940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberMA48512
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: