Provider Demographics
NPI:1437227444
Name:BOWMAN, PHILIP R (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:R
Last Name:BOWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 12622
Mailing Address - Street 2:CHESAPEAKE WOMEN'S HEALTH
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4017
Mailing Address - Country:US
Mailing Address - Phone:410-820-0038
Mailing Address - Fax:410-820-0039
Practice Address - Street 1:401 PURDY ST STE 102
Practice Address - Street 2:CHESAPEAKE WOMEN'S HEALTH
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-4060
Practice Address - Country:US
Practice Address - Phone:410-820-0038
Practice Address - Fax:410-820-0039
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD24617207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD358631600Medicaid
D76431Medicare UPIN
MD358631600Medicaid