Healthcare Provider Details

I. General information

NPI: 1457164139
Provider Name (Legal Business Name): TODD WILLIAM JOSEPH DOW M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS ST BRIGHAM AND WOMEN'S HOSPITAL
BOSTON MA
02115
US

IV. Provider business mailing address

75 FRANCIS ST BRIGHAM AND WOMEN'S HOSPITAL
BOSTON MA
02115
US

V. Phone/Fax

Practice location:
  • Phone: 248-891-0572
  • Fax:
Mailing address:
  • Phone: 248-891-0572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number1022044
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: