Provider Demographics
NPI:1386630077
Name:ROWES, JAY RONALD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:RONALD
Last Name:ROWES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8 BEACH PLUM LN
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-2605
Mailing Address - Country:US
Mailing Address - Phone:508-295-6286
Mailing Address - Fax:508-295-2607
Practice Address - Street 1:1565 N MAIN ST
Practice Address - Street 2:SUITE 406
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-2972
Practice Address - Country:US
Practice Address - Phone:508-677-1921
Practice Address - Fax:508-677-2755
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA212936207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIJR42034Medicaid
MA0162680Medicaid
MA0162680Medicaid
MAE07937Medicare UPIN