Provider Demographics
NPI:1952357543
Name:HOWARD, PETER C (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:C
Last Name:HOWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 ROUTE 37 WEST
Mailing Address - Street 2:RIVERWOOD 2 SUITE 1
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-6405
Mailing Address - Country:US
Mailing Address - Phone:732-914-1300
Mailing Address - Fax:732-914-0849
Practice Address - Street 1:67 ROUTE 37 WEST
Practice Address - Street 2:RIVERWOOD 2 SUITE 1
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6405
Practice Address - Country:US
Practice Address - Phone:732-914-1300
Practice Address - Fax:732-914-0849
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07909600174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ093900L07Medicare ID - Type Unspecified
NJI39200Medicare UPIN