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NPI Code Detail

MEDICARE: MATTHEW BOWLER

MEDICARE:   MATTHEW  BOWLER
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
1213ES0103XFoot & Ankle Surgery PodiatristSC007672PA

General Provider Information

NPI Number : 1578489563
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW BOWLER
Provider Business Mailing Address
First Line : 3462 TILDEN ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19129-1435
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 140 NUTT RD
Second Line :
City : PHOENIXVILLE
State : PA
Zip : 19460-3906
Country : US
Telephone Number : 267-825-4422
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2026
Last Update Date : 06/25/2026

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Directions to “ MATTHEW BOWLER ” Practice Location

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