Healthcare Provider Details

I. General information

NPI: 1386630077
Provider Name (Legal Business Name): JAY RONALD ROWES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 N MAIN ST SUITE 406
FALL RIVER MA
02720-2972
US

IV. Provider business mailing address

8 BEACH PLUM LN
WAREHAM MA
02571-2605
US

V. Phone/Fax

Practice location:
  • Phone: 508-677-1921
  • Fax: 508-677-2755
Mailing address:
  • Phone: 508-295-6286
  • Fax: 508-295-2607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number212936
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: