Individual
THOMAS W FOWLIE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 ROUTE 37 W, TOMS RIVER, NJ 08755-6423
(732) 557-8000
Mailing address
PO BOX 155, CHESWICK, PA 15024-0155
(412) 826-1065
(412) 826-1491
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA06363300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6973809
—
NJ
Enumeration date
06/18/2006
Last updated
12/20/2007
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