Provider Demographics
NPI:1366538084
Name:MUNTZ, HOWARD G (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:G
Last Name:MUNTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 N 115TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-8414
Mailing Address - Country:US
Mailing Address - Phone:206-368-6806
Mailing Address - Fax:206-368-6808
Practice Address - Street 1:1560 N 115TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-8414
Practice Address - Country:US
Practice Address - Phone:206-368-6806
Practice Address - Fax:206-368-6808
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00030427207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA160046803OtherRAILROAD MC#
WAUS0862052OtherAETNA SPECIALIST NUMBER
WAMU5661OtherBLUE SHIELD #
WA0039592OtherLABOR AND INDUSTRIES
WA8149742Medicaid
WA000182924Medicare PIN
WA8149742Medicaid