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Contact Information

GERARD J FOWLER II, CO, BOCO, C. PED.
280 PLEASANT ST
UNIT #3
CONCORD, NH03301-2553
 Phone: 603-228-7159
 Fax: 603-225-4265
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for GERARD J FOWLER II · (Male)

NPI # 1912913856
Status Active
Credentials CO, BOCO, C. PED.
Entity Individual
Enumeration date 07/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • NH Medicaid 30761501
  • Other 12Y002242NH01 ANTHEM BLUE CROSS/BLUE SH
  • Other 2264576 CIGNA
  • Other 706167 HARVARD PILGRIM
  • NH Other 4665514 AETNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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