Provider Demographics
NPI:1790292811
Name:BOWE, CORRINE BEATRIZ BITONG
Entity Type:Individual
Prefix:
First Name:CORRINE BEATRIZ
Middle Name:BITONG
Last Name:BOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 WHIPPOORWILL LN
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-4222
Mailing Address - Country:US
Mailing Address - Phone:973-586-8767
Mailing Address - Fax:
Practice Address - Street 1:16 WHIPPOORWILL LN
Practice Address - Street 2:
Practice Address - City:ROCKAWAY
Practice Address - State:NJ
Practice Address - Zip Code:07866-4222
Practice Address - Country:US
Practice Address - Phone:973-586-8767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program