Healthcare Provider Details

I. General information

NPI: 1992877203
Provider Name (Legal Business Name): ADAM S BOWMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 10/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 W 10TH ST (CONNECTIONS COMMUNITY SUPPORT PROGRAM)
WILMINGTON DE
19801-1422
US

IV. Provider business mailing address

500 W 10TH ST (CONNECTIONS COMMUNITY SUPPORT PROGRAM)
WILMINGTON DE
19801-1422
US

V. Phone/Fax

Practice location:
  • Phone: 302-230-9102
  • Fax: 302-984-3329
Mailing address:
  • Phone: 302-230-9102
  • Fax: 302-984-3329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License NumberC10007248
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC1-0007248
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: