Healthcare Provider Details

I. General information

NPI: 1679587547
Provider Name (Legal Business Name): HOWARD J COX MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

668 N CHURCH ST SUITE 107
HAZLETON PA
18201-3194
US

IV. Provider business mailing address

1650 VALLEY CENTER PKWY SUITE 100
BETHLEHEM PA
18017-2344
US

V. Phone/Fax

Practice location:
  • Phone: 570-454-0500
  • Fax: 570-454-5005
Mailing address:
  • Phone: 484-884-4436
  • Fax: 484-884-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD040587L
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0015929620005
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
Identifier1618630
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BLUE SHIELD

VIII. Authorized Official

Name: HOWARD J COX
Title or Position: PRESIDENT
Credential: MD
Phone: 570-454-0500