Heller, Howard Mark
Heller, Howard Mark is an sole proprietor health care provider with primary practice located at 77 Massachusetts Ave E 23 Massachusetts Insitute Of Technology, Cambridge MA 02139-4301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Heller, Howard Mark can be contacted via phone (617) 253-1615.Contact Information
Primary practice address
77 Massachusetts Ave E 23 Massachusetts Insitute Of Technology
Cambridge MA 02139-4301
Phone: (617) 253-1615
Fax: (617) 258-0437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 74425 | Massachusetts |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 74425 | Massachusetts |
Profile Details
| NPI number | 1508856287 |
|---|---|
| LBN Legal business name | Heller, Howard Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Oct 11th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508856287 | NPPES |
| Massachusetts | MEDICAID | 3080935 | |
| Massachusetts | Other | J11283 | |
| Massachusetts | Other | 074425 |
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