Individual
BERNARD LAWRENCE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
297 UNION AVE, FRAMINGHAM, MA 01702-6337
(508) 872-4590
(508) 872-0038
Mailing address
297 UNION AVE, FRAMINGHAM, MA 01702-6337
(508) 872-4590
(508) 872-0038
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28621
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2085615
—
MA
Enumeration date
09/29/2006
Last updated
07/08/2007
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