Provider Demographics
NPI:1053642611
Name:BOWE, ROBERT PATRICK (CHT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:PATRICK
Last Name:BOWE
Suffix:
Gender:M
Credentials:CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 ANGELL ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-4444
Mailing Address - Country:US
Mailing Address - Phone:401-351-1700
Mailing Address - Fax:
Practice Address - Street 1:420 ANGELL ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-4444
Practice Address - Country:US
Practice Address - Phone:401-351-1700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-21
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist