MEDICARE: JANE ROWE

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	207N00000X	Dermatology Physician	OS005494L	PA

General Provider Information

NPI Number	:	1881672368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANE ROWE

Provider Business Mailing Address
First Line	:	1414 9TH AVE
Second Line	:	STATION MEDICAL CENTER
City	:	ALTOONA
State	:	PA
Zip	:	16602-2415
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 9TH AVE
Second Line	:	STATION MEDICAL CENTER
City	:	ALTOONA
State	:	PA
Zip	:	16602-2415
Country	:	US
Telephone Number	:	814-946-1655
Fax Number	:

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

Provider Enumeration Date	:	01/05/2006
Last Update Date	:	04/06/2021

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Directions to “ JANE ROWE ” Practice Location

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