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NPI Code Detail

MEDICARE: DR. JOHN J BOWDEN JR. DO

MEDICARE: DR. JOHN J BOWDEN JR. DO
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
1207Q00000XFamily Medicine PhysicianOS004458-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447200258
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN J BOWDEN JR. DO
Provider Business Mailing Address
First Line : 1738 W CHELTENHAM AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-1546
Country : US
Telephone Number : 215-548-3390
Fax Number : 215-549-8998
Provider Business Practice Location Address
First Line : 1738 W CHELTENHAM AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19126-1546
Country : US
Telephone Number : 215-548-3390
Fax Number : 215-549-8998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 11/12/2008

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