Individual
DR. LAURA BOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2130 HIGHWAY 35, BLDG C, SEA GIRT, NJ 08750-1010
(732) 974-1980
(732) 974-2117
Mailing address
2130 HIGHWAY 35, BLDG C, SEA GIRT, NJ 08750-1010
(732) 974-1980
(732) 974-2117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07704800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088722
—
NJ
Enumeration date
05/18/2006
Last updated
01/31/2008
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