MEDICARE: KATHLEEN A DOWLING, M.D., LLC

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	207R00000X	Internal Medicine Physician	25MA07346900	NJ

General Provider Information

NPI Number	:	1184803520
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KATHLEEN A DOWLING, M.D., LLC

Provider Business Mailing Address
First Line	:	1800 HWY 34
Second Line	:	BUILDING 1, SUITE 103
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9168
Country	:	US
Telephone Number	:	732-280-7100
Fax Number	:	732-280-7177

Provider Business Practice Location Address
First Line	:	1800 HWY 34
Second Line	:	BUILDING 1, SUITE 103
City	:	WALL TOWNSHIP
State	:	NJ
Zip	:	07719-9168
Country	:	US
Telephone Number	:	732-280-7100
Fax Number	:	732-280-7177

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	DR. KATHLEEN DOWLING
Credential	:	M.D.
Telephone Number	:	732-280-7100

Provider Enumeration Date	:	11/02/2007
Last Update Date	:	11/20/2007

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