Tee, David Fowler
Tee, David Fowler is an individual health care provider with primary practice located at 380 Pleasant St Suite 1-1, Malden MA 02148-8123. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Tee, David Fowler can be contacted via phone (781) 324-9100.Contact Information
Primary practice address
380 Pleasant St Suite 1-1
Malden MA 02148-8123
Phone: (781) 324-9100
Fax: (781) 397-1345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 38628 | Massachusetts |
Profile Details
| NPI number | 1003884677 |
|---|---|
| LBN Legal business name | Tee, David Fowler |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003884677 | NPPES |
| Massachusetts | MEDICAID | 2051737 | |
| Massachusetts | Other | B27151 | |
| Massachusetts | Other | 706181 |
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