Individual
DR. GLENDA JEANNETTE BOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
725 NORTH ST, PITTSFIELD, MA 01201-4124
(413) 447-2695
(413) 447-3111
Mailing address
725 NORTH ST, PITTSFIELD, MA 01201-4124
(413) 447-2695
(413) 447-3111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054662
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
054662
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
287531
MA
207RP1001X
Pulmonary Disease Physician
054662
CT
207RP1001X
Pulmonary Disease Physician
Primary
287531
MA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
287531
MA
208M00000X
Hospitalist Physician
054662
CT
Other
Enumeration date
04/22/2013
Last updated
07/19/2021
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