Healthcare Provider Details

I. General information

NPI: 1053307462
Provider Name (Legal Business Name): CHRISTOPHER C STOWE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 02/18/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 MIDDLE ST
FALL RIVER MA
02721-1733
US

IV. Provider business mailing address

77 WARREN ST RM 339
BRIGHTON MA
02135
US

V. Phone/Fax

Practice location:
  • Phone: 508-235-5258
  • Fax: 508-675-5671
Mailing address:
  • Phone: 617-562-5359
  • Fax: 617-562-5415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number76383
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: