Provider Demographics
NPI:1659546497
Name:NATHAN R. HOWE, MD
Entity Type:Organization
Organization Name:NATHAN R. HOWE, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:READ
Authorized Official - Last Name:HOWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-793-9755
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD045069L207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7000663001OtherCIGNA PPO/HMO PROVIDER #
PA69045OtherPA BLUE SHIELD
PA2064462OtherAETNA PROVIDER #
6905/0759965000OtherAMERIHEALTH PPO/HMO PROV #
=========OtherTRI-CARE
=========OtherUNITED HEALTHCARE
6905/0759965000OtherAMERIHEALTH PPO/HMO PROV #
=========OtherFIDELITY PROV #
PA2064462OtherAETNA PROVIDER #
7000663001OtherCIGNA PPO/HMO PROVIDER #