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NPI Code Detail

MEDICARE: MR. ROBERT BOWEN PA-C

MEDICARE: MR. ROBERT BOWEN PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant25MP00203300NJ
2363AS0400XSurgical Physician Assistant25MP00203300NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
125MP00203300OTHERNJNJ LICENSE

General Provider Information

NPI Number : 1215192455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT BOWEN PA-C
Provider Business Mailing Address
First Line : 1 FEDERAL ST STE 200
Second Line :
City : CAMDEN
State : NJ
Zip : 08103-1088
Country : US
Telephone Number : 848-288-6935
Fax Number : 732-790-0107
Provider Business Practice Location Address
First Line : 215 N MAIN ST
Second Line :
City : CAPE MAY COURT HOUSE
State : NJ
Zip : 08210-2192
Country : US
Telephone Number : 609-778-1900
Fax Number : 609-536-2888
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2008
Last Update Date : 04/08/2025

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