Active NPIIndividual provider

Mrs. Courtney E Houde, PA-C

Physician Assistant in Medford, New Jersey

NPI Number1992058689
Practice location
103 Old Marlton Pike, Medford, NJ 08055
Fax
—
Last updated
July 21, 2022

Courtney E Houde is a Physician Assistant based in Medford, NJ. Courtney E Houde practices in Medford, NJ and has the professional credentials of PA-C. The NPI Number for Courtney E Houde is 1992058689 and holds a License No. MA055917 (PA). The current practice location address for Courtney E Houde is 103 Old Marlton Pike, Medford, NJ 08055 and can be reached out via phone at 609-714-0202.

Provider Profile Details

NPI Number
1992058689
Provider Name
Courtney E Houde
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
103 Old Marlton Pike, Medford, NJ 08055
Phone Number
609-714-0202
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 18, 2012
Last Update Date
July 21, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Old Marlton Pike
Medford, NJ 08055
Zip
08055
Phone Number
609-714-0202
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
103 Old Marlton Pike
Medford, NJ 08055
City
Medford
State
NJ
Zip
08055
Phone Number
609-714-0202
Fax Number
215-254-2599

License Information

License Number (1)
MA055917
License State (1)
PA
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00295700
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Courtney E Houde, PA-C?

The NPI number of Mrs. Courtney E Houde, PA-C is 1992058689. It was assigned on October 18, 2012 and is currently active in the NPPES registry.

What is the specialty of Mrs. Courtney E Houde, PA-C?

Mrs. Courtney E Houde, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in PA under license number MA055917.

Where does Mrs. Courtney E Houde, PA-C practice?

The practice location is 103 Old Marlton Pike, Medford, NJ 08055. The office can be reached at 609-714-0202 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1992058689 directly on the NPPES registry website.

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