Provider Demographics
NPI:1972704336
Name:PAISNER, HOWARD (CRT)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:PAISNER
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 NORTH ST
Mailing Address - Street 2:APT 17
Mailing Address - City:MEDFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02052-1656
Mailing Address - Country:US
Mailing Address - Phone:508-361-3690
Mailing Address - Fax:
Practice Address - Street 1:121 NORTH ST
Practice Address - Street 2:APT 17
Practice Address - City:MEDFIELD
Practice Address - State:MA
Practice Address - Zip Code:02052-1656
Practice Address - Country:US
Practice Address - Phone:508-361-3690
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA32592278P3900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P3900XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedNeonatal/Pediatrics