Provider Demographics
NPI:1265065866
Name:SHAWN A HOWLAND MD
Entity type:Organization
Organization Name:SHAWN A HOWLAND MD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:774-226-5577
Mailing Address - Street 1:104 CAMERON WAY
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH
Mailing Address - State:MA
Mailing Address - Zip Code:02769-2126
Mailing Address - Country:US
Mailing Address - Phone:401-612-7100
Mailing Address - Fax:774-565-0469
Practice Address - Street 1:758 EDDY ST STE 300
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4940
Practice Address - Country:US
Practice Address - Phone:401-236-7258
Practice Address - Fax:774-465-0469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-21
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Single Specialty