Provider Demographics
NPI:1033178629
Name:HOWARD, TERRY T (MD)
Entity Type:Individual
Prefix:DR
First Name:TERRY
Middle Name:T
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 BUTT HINGE RD
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2126
Mailing Address - Country:US
Mailing Address - Phone:978-256-8084
Mailing Address - Fax:978-256-9790
Practice Address - Street 1:1 BUTT HINGE RD
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2126
Practice Address - Country:US
Practice Address - Phone:978-256-8084
Practice Address - Fax:978-256-9790
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA33012207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0180491Medicaid
C16088Medicare ID - Type Unspecified
MA0180491Medicaid