Individual
JOSEPHINE REBECCA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
279 LINCOLN ST, WORCESTER, MA 01605-2120
(508) 334-8830
(508) 334-8835
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
159612
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3201082
—
MA
01
—
8K5172
TPAN
TX
Enumeration date
02/13/2006
Last updated
11/16/2020
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