MEDICARE: REBECCA ANNE SPOERRI-BOWMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1184423451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBECCA ANNE SPOERRI-BOWMAN

Provider Business Mailing Address
First Line	:	955 MAIN ST STE 305
Second Line	:
City	:	WINCHESTER
State	:	MA
Zip	:	01890-4303
Country	:	US
Telephone Number	:	781-435-8004
Fax Number	:	781-205-2003

Provider Business Practice Location Address
First Line	:	955 MAIN ST STE 305
Second Line	:
City	:	WINCHESTER
State	:	MA
Zip	:	01890-4303
Country	:	US
Telephone Number	:	781-435-8004
Fax Number	:	781-205-2003

Authorized Official
Title or Position	:	OWNER
Name	:	REBECCA SPOERRI-BOWMAN
Credential	:	DO
Telephone Number	:	781-435-8004

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	05/05/2025

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