Provider Demographics
NPI:1487692505
Name:PRESS, HOWARD L (DO)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:L
Last Name:PRESS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 LAUREL OAK RD STE 105
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4455
Mailing Address - Country:US
Mailing Address - Phone:856-922-9896
Mailing Address - Fax:856-922-9890
Practice Address - Street 1:73 N MAPLE AVE
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053
Practice Address - Country:US
Practice Address - Phone:844-542-2273
Practice Address - Fax:856-596-4043
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2018-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB31892207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE13961Medicare UPIN
NJ462050ZGH1Medicare PIN