Provider Demographics
NPI:1912996083
Name:HOWARD, RENEE PATRICIA (MD)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:PATRICIA
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2914 DUNCAN RD
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21161-8935
Mailing Address - Country:US
Mailing Address - Phone:410-692-9563
Mailing Address - Fax:
Practice Address - Street 1:2860 CAROL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3857
Practice Address - Country:US
Practice Address - Phone:717-757-3400
Practice Address - Fax:717-757-3702
Is Sole Proprietor?:No
Enumeration Date:2005-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431058208000000X
MDD26512208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDD78079Medicare UPIN