Provider Demographics
NPI:1811043185
Name:MARON, HOWARD GLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:GLEN
Last Name:MARON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1101 MADISON ST
Mailing Address - Street 2:SUITE 1501
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1306
Mailing Address - Country:US
Mailing Address - Phone:206-215-2300
Mailing Address - Fax:206-215-2304
Practice Address - Street 1:1101 MADISON ST
Practice Address - Street 2:SUITE 1501
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1306
Practice Address - Country:US
Practice Address - Phone:206-215-2300
Practice Address - Fax:206-215-2304
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00016708207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA05097Medicare UPIN