Provider Demographics
NPI:1417356288
Name:HOWARD, ALLEIN DEOCERA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALLEIN
Middle Name:DEOCERA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:ALLEIN
Other - Middle Name:MALLARI
Other - Last Name:DEOCERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:3548 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-2765
Mailing Address - Country:US
Mailing Address - Phone:732-679-6300
Mailing Address - Fax:
Practice Address - Street 1:3548 ROUTE 9
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-2765
Practice Address - Country:US
Practice Address - Phone:732-679-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-18
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00344100363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant