Provider Demographics
NPI:1609895010
Name:HOWARD, ROBERT J (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:HOWARD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2758 CENTURY BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-3345
Mailing Address - Country:US
Mailing Address - Phone:610-375-0500
Mailing Address - Fax:610-373-0375
Practice Address - Street 1:2758 CENTURY BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19611-3345
Practice Address - Country:US
Practice Address - Phone:610-375-0500
Practice Address - Fax:610-373-0375
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009265L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0019230810001Medicaid
PA2073590000OtherKEYSTONE HEALTH PLAN EAST
PA50001300OtherCAPITAL BLUE CROSS
PAHO1382254OtherHIGHMARK BLUE SHIELD
PA2958578OtherAETNA
PA50001300OtherKEYSTONE HEALTH PLAN CENT
PA50001300OtherKEYSTONE SR BLUE
PA2073590000OtherKEYSTONE HEALTH PLAN EAST
PA060047QUJMedicare ID - Type Unspecified