Provider Demographics
NPI:1013476548
Name:NORMAN ROWE, M.D OF NEW JERSEY LLC
Entity Type:Organization
Organization Name:NORMAN ROWE, M.D OF NEW JERSEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-584-8903
Mailing Address - Street 1:71 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOGOTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07603-1252
Mailing Address - Country:US
Mailing Address - Phone:732-852-2770
Mailing Address - Fax:732-852-2771
Practice Address - Street 1:71 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BOGOTA
Practice Address - State:NJ
Practice Address - Zip Code:07603-1252
Practice Address - Country:US
Practice Address - Phone:732-852-2770
Practice Address - Fax:732-852-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty