Provider Demographics
NPI:1518126713
Name:DEBOWY, OWEN GABRIEL (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:OWEN
Middle Name:GABRIEL
Last Name:DEBOWY
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 MESSENGER ST STE 201
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02762-2258
Mailing Address - Country:US
Mailing Address - Phone:508-809-6378
Mailing Address - Fax:508-809-6366
Practice Address - Street 1:60 MESSENGER ST STE 201
Practice Address - Street 2:
Practice Address - City:PLAINVILLE
Practice Address - State:MA
Practice Address - Zip Code:02762-2258
Practice Address - Country:US
Practice Address - Phone:508-809-6378
Practice Address - Fax:508-809-6366
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2018-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0070648207R00000X, 208000000X
MA253884207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine