Provider Demographics
NPI:1750499646
Name:MONIEM, HOWAYDA A (MD)
Entity Type:Individual
Prefix:
First Name:HOWAYDA
Middle Name:A
Last Name:MONIEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:495 N 13TH STREET
Mailing Address - Street 2:COLUMBUS HOSPITAL
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-1397
Mailing Address - Country:US
Mailing Address - Phone:973-268-2486
Mailing Address - Fax:973-268-1697
Practice Address - Street 1:495 N 13TH STREET
Practice Address - Street 2:COLUMBUS HOSPITAL
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-1397
Practice Address - Country:US
Practice Address - Phone:973-268-2486
Practice Address - Fax:973-268-1697
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06144800207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ046144Medicare ID - Type Unspecified
G60767Medicare UPIN