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Individual

DR. MARC XAVIER BOWEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
209 W 19TH ST, NEW YORK, NY 10011-4001
(212) 480-4062
(646) 582-1434
Mailing address
209 W 19TH ST, NEW YORK, NY 10011-4001
(212) 480-4062
(646) 582-1434

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
197205
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
197205
NY
207RP1001X
Pulmonary Disease Physician
Primary
197205
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01537282
NY
Enumeration date
01/11/2006
Last updated
01/19/2024
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