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Individual

MR. ROBERT F. SOWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
383 ROCKDALE AVE, NEW BEDFORD, MA 02740-1347
(508) 996-5631
(508) 996-5711
Mailing address
383 ROCKDALE AVE, NEW BEDFORD, MA 02740-1347
(508) 996-5631
(508) 996-5711

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
HE-102-1
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1536702
MA
Enumeration date
02/28/2007
Last updated
07/09/2007
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