Individual
MR. GERARD JOSEPH FOWLER II
Active
Individual
MR. GERARD JOSEPH FOWLER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO, BOCO, C. PED.
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12Y002242NH01
ANTHEM BLUE CROSS/BLUE SH
—
01
—
2264576
CIGNA
—
05
—
30761501
—
NH
01
—
4665514
AETNA
NH
01
—
706167
HARVARD PILGRIM
—
Enumeration date
07/31/2006
Last updated
07/08/2007
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