Provider Demographics
NPI:1689651614
Name:HOWE, ROBERT S (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:S
Last Name:HOWE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ROBERT
Other - Middle Name:
Other - Last Name:HOWE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:281 MAPLE STREET
Mailing Address - Street 2:
Mailing Address - City:E LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028
Mailing Address - Country:US
Mailing Address - Phone:413-525-5160
Mailing Address - Fax:413-525-5170
Practice Address - Street 1:281 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:E LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028
Practice Address - Country:US
Practice Address - Phone:413-525-5160
Practice Address - Fax:413-525-5170
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71308207VE0102X, 207VG0400X, 2085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ09096OtherBLUE SHIELD
MA13197OtherHEALTH NEW ENGLAND
MA9778578Medicaid
MA9778578Medicaid
MA13197OtherHEALTH NEW ENGLAND