Provider Demographics
NPI:1871756874
Name:BASH, HOWARD L (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:L
Last Name:BASH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:100 E HANOVER AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-2020
Mailing Address - Country:US
Mailing Address - Phone:973-971-7184
Mailing Address - Fax:973-998-4640
Practice Address - Street 1:100 E HANOVER AVE
Practice Address - Street 2:
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-2020
Practice Address - Country:US
Practice Address - Phone:973-971-7184
Practice Address - Fax:973-998-4640
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA083770002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry