Provider Demographics
NPI:1790700276
Name:LIU, HOWARD H (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:H
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:280 WASHINGTON ST
Mailing Address - Street 2:#204
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3511
Mailing Address - Country:US
Mailing Address - Phone:617-783-7333
Mailing Address - Fax:
Practice Address - Street 1:280 WASHINGTON ST
Practice Address - Street 2:#204
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3511
Practice Address - Country:US
Practice Address - Phone:617-783-7333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160548207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA160548OtherTUFTS HEALTH PLAN
9122982 001OtherCIGNA
MAJ22744OtherBLUE CROSS BLUE SHIELD
0407008OtherUNINTED HEALTH CARE
2451370OtherAETNA
MA9712381Medicaid
0021294OtherNEIGHBORHOOD HEALTH PLAN
69861OtherHARVARD PILGRIM
MA9712381Medicaid
0021294OtherNEIGHBORHOOD HEALTH PLAN