Provider Demographics
NPI:1316363104
Name:FUTERMAN, HOWARD N
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:N
Last Name:FUTERMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160546
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-0546
Mailing Address - Country:US
Mailing Address - Phone:916-456-3633
Mailing Address - Fax:
Practice Address - Street 1:1618 ALHAMBRA BLVD UNIT 160546
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7622
Practice Address - Country:US
Practice Address - Phone:916-456-3633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-17
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG56682208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics