Individual
SUSAN F BOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
732 HARRISON AVE, PRESTON 3RD FLOOR, BOSTON, MA 02118
(617) 638-7490
(617) 414-8742
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA462
MA
Other
Enumeration date
11/01/2006
Last updated
02/26/2015
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