Individual
JOHN MCDOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 BROADWAY AVE, GORHAM, NH 03581-1502
(603) 466-2741
(603) 466-2953
Mailing address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
(603) 752-1709
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5240
NH
207Q00000X
Family Medicine Physician
Primary
5240
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104851YPNH02
ANTHEM BC/BS
NH
05
—
30204172
—
NH
01
—
5240
STATE LICENSE #
NH
01
—
5317585002
CIGNA HEALTHCARE
NH
01
—
5830418
AETNA GROUP
—
01
—
P00186035
RAILROAD MEDICARE
NH
Enumeration date
08/11/2005
Last updated
03/07/2023
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