Individual
PAUL BYRON FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2905
(410) 532-5258
(410) 532-5276
Mailing address
9105 FRANKLIN SQUARE DR, STE 100, BALTIMORE, MD 21237-5333
(410) 682-6800
(410) 682-2783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DOO44314
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
48452
—
MD
Enumeration date
05/23/2005
Last updated
05/27/2010
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