Provider Demographics
NPI:1972796050
Name:ARTHUR J. BOWMAN JR MD PC
Entity Type:Organization
Organization Name:ARTHUR J. BOWMAN JR MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOWMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:781-337-5555
Mailing Address - Street 1:51 PERFORMANCE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3104
Mailing Address - Country:US
Mailing Address - Phone:781-337-5555
Mailing Address - Fax:781-335-6047
Practice Address - Street 1:51 PERFORMANCE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3104
Practice Address - Country:US
Practice Address - Phone:781-337-5555
Practice Address - Fax:781-335-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
090048OtherUNITED HEALTH CARE
MA171341OtherHARVARD PILGRIM
34753OtherFALLON
B20367601OtherCIGNA
C27056OtherMEDICARE PTAN
114382OtherONE HEALTH
MA2046067Medicaid
MD711053OtherTUFTS HEALTH PLAN
0004572OtherNHP
4234538OtherAETNA
MAC27056OtherBLUE CROSS BLUE SHEILD
B76134Medicare UPIN