Provider Demographics
NPI:1467496612
Name:BOWEN, FRANK W III (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:W
Last Name:BOWEN
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1 FEDERAL ST # 100
Mailing Address - Street 2:
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1088
Mailing Address - Country:US
Mailing Address - Phone:856-356-4924
Mailing Address - Fax:
Practice Address - Street 1:3 COOPER PLAZA
Practice Address - Street 2:SUITE 502
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103
Practice Address - Country:US
Practice Address - Phone:856-342-3113
Practice Address - Fax:856-541-5379
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA227728207RC0000X
NJMA08383000208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3K8433OtherHEALTHNET, INC
NJ60040923OtherHORIZON NJ HEALTH
NJ0166146Medicaid
NJ1867337/5396087OtherAETNA HMO/PPO
NJ0166146Medicaid