MEDICARE: MS. EMILY 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
1	176B00000X	Midwife

General Provider Information

NPI Number	:	1689027591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY BOWLER

Provider Business Mailing Address
First Line	:	39 PARTRIDGE AVE
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02145-3629
Country	:	US
Telephone Number	:	914-325-1715
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 PARTRIDGE AVE
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02145-3629
Country	:	US
Telephone Number	:	914-325-1715
Fax Number	:

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

Provider Enumeration Date	:	07/15/2016
Last Update Date	:	07/15/2016

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Directions to “ MS. EMILY BOWLER ” Practice Location

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