Provider Demographics
NPI:1760456586
Name:HOWARD, ELIZABETH WOODCOME (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:WOODCOME
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 415348
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-5348
Mailing Address - Country:US
Mailing Address - Phone:800-225-8885
Mailing Address - Fax:508-334-1977
Practice Address - Street 1:119 BELMONT ST
Practice Address - Street 2:DEPARTMENT OF GERIATRICS
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-2903
Practice Address - Country:US
Practice Address - Phone:508-334-6251
Practice Address - Fax:508-334-6906
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2012-09-07
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Provider Licenses
StateLicense IDTaxonomies
MA78696207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherTHREE RIVERS
110239903OtherRAILROAD MEDICARE
441337OtherTUFTS HEALTH PLAN
55300OtherFALLON COMMUNITY HEALTH P
J25124OtherBLUE SHIELD INDEMNITY
042472266002OtherTRICARE CHAMPUS
AA1208OtherHARVARD PILGRIM HEALTHCAR
0198943OtherMEDICAID WELFARE
A34433OtherMEDICARE B
J25124OtherBLUE SHIELD HMO BLUE
042472266OtherUNITED HEALTCARE
7806648OtherAETNA US HEALTHCARE
784147OtherMVP HEALTH CARE
J25124OtherBLUE CARE ELECT
MA0198943Medicaid
042472266OtherONE HEALTH PLAN
042472266OtherPRIVATE HEALTHCARE SYSTEM
1562321OtherCIGNA HEALTH PLAN
A34433OtherMEDICARE B
MA0198943Medicaid