Provider Demographics
NPI:1104943224
Name:HOWARD N. WEEKS, MD FAMILY PRACTICE, PA
Entity type:Organization
Organization Name:HOWARD N. WEEKS, MD FAMILY PRACTICE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:NELSON
Authorized Official - Last Name:WEEKS
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:301-733-4496
Mailing Address - Street 1:580 NORTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2847
Mailing Address - Country:US
Mailing Address - Phone:301-733-4496
Mailing Address - Fax:301-733-0963
Practice Address - Street 1:580 NORTHERN AVE
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-2847
Practice Address - Country:US
Practice Address - Phone:301-733-4496
Practice Address - Fax:301-733-0963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0011266207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDB67441Medicare UPIN