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NPI Code Detail

MEDICARE: JOHN J BOWDEN JR DO PC

MEDICARE: JOHN J BOWDEN JR DO PC
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
1207R00000XInternal Medicine Physician
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1467461806
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOHN J BOWDEN JR DO PC
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 : CEO
Name : DR. JOHN J BOWDEN
Credential : DO
Telephone Number : 215-548-3403
Provider Enumeration Date : 08/05/2006
Last Update Date : 10/16/2015

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