Individual
NICHOLAS K FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 BUCKNAM RD, SUITE 1D, FALMOUTH, ME 04105-1208
(207) 781-1775
(207) 781-1780
Mailing address
301 US ROUTE 1, BUILDING C, SCARBOROUGH, ME 04074-7609
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
011042
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286180099
—
ME
Enumeration date
01/11/2007
Last updated
11/26/2014
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