Provider Demographics
NPI:1962592188
Name:HOWARD S HONIG, MD, FACC, PC
Entity type:Organization
Organization Name:HOWARD S HONIG, MD, FACC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:HONIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-232-3221
Mailing Address - Street 1:125 PARKER HILL AVE
Mailing Address - Street 2:FOGG 406
Mailing Address - City:ROXBURY CROSSING
Mailing Address - State:MA
Mailing Address - Zip Code:02120-2847
Mailing Address - Country:US
Mailing Address - Phone:617-232-3221
Mailing Address - Fax:617-232-8874
Practice Address - Street 1:125 PARKER HILL AVE
Practice Address - Street 2:FOGG 406
Practice Address - City:ROXBURY CROSSING
Practice Address - State:MA
Practice Address - Zip Code:02120-2847
Practice Address - Country:US
Practice Address - Phone:617-232-3221
Practice Address - Fax:617-232-8874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA43620207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3025OtherHARVARD PILGRIM HEALTHCAR
MAM13509OtherBLUE CROSS BLUE SHIELD
MA705582OtherTUFTS HEALTH PLAN
MA9723692Medicaid
MAM13509Medicare ID - Type UnspecifiedMEDICARE
MA9723692Medicaid