Provider Demographics
NPI:1619967635
Name:BOWEN, ANNE C (MD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:C
Last Name:BOWEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1646 W CHESTER PIKE
Mailing Address - Street 2:SUITE 21
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7995
Mailing Address - Country:US
Mailing Address - Phone:610-696-0338
Mailing Address - Fax:610-692-7838
Practice Address - Street 1:1646 W CHESTER PIKE
Practice Address - Street 2:SUITE 21
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7995
Practice Address - Country:US
Practice Address - Phone:610-696-0338
Practice Address - Fax:610-692-7838
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2008-02-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034049E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAC31516Medicare UPIN