Healthcare Provider Details

I. General information

NPI: 1023279395
Provider Name (Legal Business Name): BRYAN PARKER ROWE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELLIOT WAY
MANCHESTER NH
03103-3502
US

IV. Provider business mailing address

33 RIVER FRONT DR UNIT #10
MANCHESTER NH
03102-3209
US

V. Phone/Fax

Practice location:
  • Phone: 603-663-1800
  • Fax:
Mailing address:
  • Phone: 917-658-5231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License Number00000000000
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number15594
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: