Individual
TIMOTHY FOWLER CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 PELHAM PKWY S, BRONX, NY 10461-1138
(718) 918-3513
(718) 975-6594
Mailing address
35 SHADOW LN, LARCHMONT, NY 10538-2524
(802) 999-5839
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
157777
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011635
—
VT
Enumeration date
11/08/2006
Last updated
09/01/2020
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