# JOHN J BOWDEN JR DO PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** West Oak Lane Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467461806
- **Authorized official:** DR. JOHN J BOWDEN DO (CEO)
- **Authorized official phone:** (215) 548-3403

## Contact information

- **Practice address:** 1738 W CHELTENHAM AVE, PHILADELPHIA, PA 19126-1546
- **Practice address phone:** (215) 548-3390
- **Practice address fax:** (215) 549-8998
- **Mailing address:** 1738 W CHELTENHAM AVE, PHILADELPHIA, PA 19126-1546
- **Mailing address phone:** (215) 548-3390
- **Mailing address fax:** (215) 549-8998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 08/05/2006
- **Last updated:** 10/16/2015
