Doctor Name: | MR. STEPHEN J BOWEN |
NPI Number: | 1992830707 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | 217099 |
Business Practice Address: | 37 Weatherglass Ln East Falmouth, MA - 025366036 |
Business Phone Number: | 7817386023 |
Business Fax Number: | |
Mailing Address: | 37 Weatherglass Ln, EAST FALMOUTH |
State: | MA |
Postal Code: | 025366036 |
Phone Number: | 7817386023 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 217099 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |