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NPI Code Detail

MEDICARE: GLEN D ROWE D.O.

MEDICARE: GLEN D ROWE D.O.
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
1207X00000XOrthopaedic Surgery PhysicianC20003481DE
2207Q00000XFamily Medicine Physician2015-00314NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000G32ZA5HOTHERDEMEDICARE GROUP MEMBER PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1225035181
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLEN D ROWE D.O.
Provider Business Mailing Address
First Line : 640 S STATE ST
Second Line : 742 BUILDING
City : DOVER
State : DE
Zip : 19901-3530
Country : US
Telephone Number : 302-674-3970
Fax Number : 302-672-2350
Provider Business Practice Location Address
First Line : 3601 SW 160TH AVE
Second Line : SUITE 250
City : MIRAMAR
State : FL
Zip : 33027-6308
Country : US
Telephone Number : 877-866-7123
Fax Number : 855-855-2792
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2005
Last Update Date : 09/30/2015

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Directions to “ GLEN D ROWE D.O.” Practice Location

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