Individual
EMILIE JANE FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
153 E 88TH ST, NEW YORK, NY 10128-2270
(212) 283-3000
Mailing address
200 MEDICAL PLAZA SUITE 450, LOS ANGELES, CA 90095-0001
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
327121
NY
Other
Enumeration date
04/01/2020
Last updated
07/09/2024
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