Individual
DR. THERESA BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 TRAP FALLS RD STE 414, SHELTON, CT 06484-7621
(203) 929-7353
(203) 929-0756
Mailing address
1055 WASHINGTON BLVD, SUITE 440, STAMFORD, CT 06901-2216
(203) 348-2614
(203) 325-8677
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
034461
CT
207L00000X
Anesthesiology Physician
Primary
34461
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1344613
—
CT
Enumeration date
02/26/2007
Last updated
03/17/2018
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