Individual
MR. ROBERT RICHARD FOWLER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
21 ROCKY HILL RD, AMESBURY, MA 01913-4113
(978) 388-9213
Mailing address
21 ROCKY HILL RD, AMESBURY, MA 01913-4113
(978) 388-9213
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
56723
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0713104
MASS HEALTH
MA
Enumeration date
10/30/2008
Last updated
10/30/2008
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