Provider Demographics
NPI:1427008028
Name:TOW-DER, ESTHER JUNE (MD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:JUNE
Last Name:TOW-DER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1552 COFFEE RD
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-3107
Mailing Address - Country:US
Mailing Address - Phone:209-521-4372
Mailing Address - Fax:209-523-2005
Practice Address - Street 1:1552 COFFEE RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3107
Practice Address - Country:US
Practice Address - Phone:209-521-4372
Practice Address - Fax:209-523-2005
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG58918207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE24789Medicare UPIN