Healthcare Provider Details

I. General information

NPI: 1871523837
Provider Name (Legal Business Name): PETER ADOUE HOWLAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

964 BROAD STREET
CENTRAL FALLS RI
02863
US

IV. Provider business mailing address

42 PARK PLACE
PAWTUCKET RI
02863
US

V. Phone/Fax

Practice location:
  • Phone: 401-729-0080
  • Fax: 401-729-0438
Mailing address:
  • Phone: 401-729-0080
  • Fax: 401-729-0438

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD11391
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: