Provider Demographics
NPI:1336139229
Name:BOWER, GEORGE J (MD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:J
Last Name:BOWER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 NASHUA ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-4919
Mailing Address - Country:US
Mailing Address - Phone:603-673-8480
Mailing Address - Fax:603-673-8664
Practice Address - Street 1:389 NASHUA ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-4919
Practice Address - Country:US
Practice Address - Phone:603-673-8480
Practice Address - Fax:603-673-8664
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-24
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH7676207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
406437OtherTUFTS
NH0107559YPNH02OtherANTHEM
NH30002069Medicaid
C66065Medicare UPIN
NH0107559YPNH02OtherANTHEM