Provider Demographics
NPI:1316948284
Name:RASHBA, HOWARD W (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:W
Last Name:RASHBA
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 1:21 GLENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01730-2009
Mailing Address - Country:US
Mailing Address - Phone:781-275-9438
Mailing Address - Fax:
Practice Address - Street 1:107 WOBURN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-2907
Practice Address - Country:US
Practice Address - Phone:781-944-4250
Practice Address - Fax:781-944-6795
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA45293174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAGX0312Medicare ID - Type Unspecified
MAD88162Medicare UPIN
MA0110663Medicare ID - Type Unspecified