Individual
THEODORE STEPHEN BOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
840 WALNUT ST STE 1020, PHILADELPHIA, PA 19107-5109
(800) 331-6634
Mailing address
840 WALNUT ST STE 1020, PHILADELPHIA, PA 19107-5109
(800) 331-6634
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD30213
ME
207W00000X
Ophthalmology Physician
Primary
MD484221
PA
Other
Enumeration date
03/28/2020
Last updated
04/15/2026
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