Provider Demographics
NPI:1538158084
Name:BOWIE, MARK G (DO)
Entity type:Individual
Prefix:DR
First Name:MARK
Middle Name:G
Last Name:BOWIE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:219 BEACH RD
Mailing Address - Street 2:UNIT 11
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-2219
Mailing Address - Country:US
Mailing Address - Phone:978-255-2864
Mailing Address - Fax:978-420-1521
Practice Address - Street 1:939 SALEM ST
Practice Address - Street 2:SUITE 7
Practice Address - City:GROVELAND
Practice Address - State:MA
Practice Address - Zip Code:01834-1565
Practice Address - Country:US
Practice Address - Phone:978-420-1520
Practice Address - Fax:978-420-1521
Is Sole Proprietor?:No
Enumeration Date:2005-10-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA76875207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2131137Medicaid
MA2131137Medicaid
MAF61904Medicare UPIN