MEDICARE: DR. WILLIAM J DOWLING JR. M.D.

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	207X00000X	Orthopaedic Surgery Physician	25MA02599200	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	202088165	OTHER	NJ	ORGANIZATION

General Provider Information

NPI Number	:	1629048855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM J DOWLING JR. M.D.

Provider Business Mailing Address
First Line	:	PO BOX 416457
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-6457
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 MADISON AVE
Second Line	:	SUITE 400
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-6097
Country	:	US
Telephone Number	:	973-971-6895
Fax Number	:	973-829-2068

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	04/03/2015

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