Individual
MR. GERARD JOSEPH FOWLER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO, BOCO, C. PED.
Contact information
Practice address
280 PLEASANT ST, UNIT #3, CONCORD, NH 03301-2553
(603) 228-7159
(603) 225-4265
Mailing address
280 PLEASANT ST, UNIT #3, CONCORD, NH 03301-2553
(603) 228-7159
(603) 225-4265
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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