Provider Demographics
NPI:1265465033
Name:HOWE, NATHAN READ (MD)
Entity Type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:READ
Last Name:HOWE
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 1:455 PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 127
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19034-3403
Mailing Address - Country:US
Mailing Address - Phone:215-793-9755
Mailing Address - Fax:215-793-4974
Practice Address - Street 1:455 PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 127
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3403
Practice Address - Country:US
Practice Address - Phone:215-793-9755
Practice Address - Fax:215-793-4974
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-045069-L207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
6905/0759965000OtherAMERIHEALTH PPO/HMO PROV#
PA7000663001OtherCIGNA PPO/HMO PROVIDER #
PA2064462OtherAETNA PROVIDER #
PA69045OtherPA BLUE SHIELD #
PA69045OtherPA BLUE SHIELD #
618066Medicare ID - Type UnspecifiedMEDICARE PROVIDER #