Provider Demographics
NPI:1669475026
Name:ROWLEY, RICHARD S (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:S
Last Name:ROWLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-3844
Mailing Address - Country:US
Mailing Address - Phone:610-933-3498
Mailing Address - Fax:610-933-5052
Practice Address - Street 1:720 MAIN ST
Practice Address - Street 2:
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-3844
Practice Address - Country:US
Practice Address - Phone:610-933-3498
Practice Address - Fax:610-933-5052
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD017532E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005721880001Medicaid
PA0005721880001Medicaid
PAC30592Medicare UPIN