Axelrod, Howard Ian

Axelrod, Howard Ian is an individual health care provider with primary practice located at 65 W Jimmie Leeds Rd , Pomona NJ 08240-9102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Axelrod, Howard Ian can be contacted via phone (609) 748-7089.

Contact Information

Primary practice address
65 W Jimmie Leeds Rd Pomona NJ 08240-9102
Phone: (609) 748-7089
Fax: (609) 652-3460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 159842 New York
Allopathic & Osteopathic Physicians / Surgery 208600000X 25MA07744200 New Jersey
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 73344 Connecticut
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 25MA07744200 New Jersey

Profile Details

NPI number 1093705014
LBN Legal business name Axelrod, Howard Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Apr 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093705014 NPPES
New Jersey MEDICAID 0044440

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