Individual
DR. CHARLES BOWERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 OLD SHORT HILLS RD, STE 518, WEST ORANGE, NJ 07052-1023
(973) 731-9067
(973) 731-0651
Mailing address
101 OLD SHORT HILLS RD, STE 518, WEST ORANGE, NJ 07052-1023
(973) 731-9067
(973) 731-0651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03846900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041953
AETNA HMO ID #
NJ
01
—
0056541
GHI PPO ID #
NJ
01
—
0791898000
AMERIHEALTH ID #
NJ
01
—
0K7075
HEALTHNET ID #
NJ
01
—
1009105
HORIZON MERCY ID #
NJ
01
—
10988
AMERIGROUP / AMERICAID ID
NJ
05
—
2489503
—
NJ
01
—
4093998
AETNA PPO ID #
NJ
01
—
47A221
EMPIRE BC/BS OF NY ID #
NJ
05
—
8283303
—
NJ
01
—
EP177
OXFORD ID #
NJ
Enumeration date
06/01/2005
Last updated
07/09/2007
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