Provider Demographics
NPI:1861574295
Name:LANIA-HOWARTH, MARIA (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:LANIA-HOWARTH
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 1:6400 MAIN ST
Mailing Address - Street 2:MAIN STREET COMPLEX
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-4606
Mailing Address - Country:US
Mailing Address - Phone:856-751-9339
Mailing Address - Fax:856-751-8940
Practice Address - Street 1:6400 MAIN ST
Practice Address - Street 2:MAIN STREET COMPLEX
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4606
Practice Address - Country:US
Practice Address - Phone:856-751-9339
Practice Address - Fax:856-751-8940
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA48512207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0442698000OtherAMERIHEALTH/KEYSTONE/IBC
NJ1011448OtherHORIZON NJ HEALTH
NJCA0000026OtherAMERICHOICE
NJ3K5978OtherHEALTHNET
NJP548425OtherOXFORD
NJ0906619OtherCIGNA
NJ1470108Medicaid
NJ1117309OtherUNITED HEALTHCARE
NJ20456OtherUNIVERSITY HEALTH PLAN
NJ2969166OtherAETNA
NJ614446OtherAMERIHEALTH PPO/ PA BS
NJ1470108Medicaid
NJ614446OtherAMERIHEALTH PPO/ PA BS