Provider Demographics
NPI:1083687511
Name:HOWARD, DEAN C (MD)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:C
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 BAKER AVENUE EXT
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2137
Mailing Address - Country:US
Mailing Address - Phone:978-369-1337
Mailing Address - Fax:978-371-3164
Practice Address - Street 1:54 BAKER AVENUE EXT
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-2137
Practice Address - Country:US
Practice Address - Phone:978-369-1337
Practice Address - Fax:978-371-3164
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA207X00000X207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA17960OtherHARVARD PILGRIM
MA39109OtherFALLON
MA707105OtherTUFTS
MA17960OtherHARVARD PILGRIM
MA39109OtherFALLON