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Provider Information for 1245539824

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ROBERT GRANT ROWE M.D.

Gender: MALE

Individual NPI: 1245539824

Calendar   Last Updated:  2017-04-17
  Certification Date: 

Details

Name Value
NPI 1245539824
Enumeration Date 2011-03-22
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 450 BROOKLINE AVENUE LW-204
BOSTON, MA 02215
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 450 BROOKLINE AVENUE
BOSTON, MA 02215
United States

Phone: 617-632-5042 | Fax: 617-582-9969
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0207X - Pediatrics Pediatric Hematology-Oncology MA 258121