Healthcare Provider Details

I. General information

NPI: 1225392715
Provider Name (Legal Business Name): PHILIP J HOWARD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2012
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2566 HAYMAKER RD
MONROEVILLE PA
15146-3517
US

IV. Provider business mailing address

2566 HAYMAKER RD
MONROEVILLE PA
15146-3517
US

V. Phone/Fax

Practice location:
  • Phone: 412-858-2760
  • Fax:
Mailing address:
  • Phone: 412-858-2760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMT 202895
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number307882
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: