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DR. FRED A. FOW MD

Physicians Anesthesiology

Provider NPI: 1205928173

Provider Information:
DR. FRED A. FOW MD
Gender: M
Not Sole Proprietor

Practice Location:
A.I. DUPONT HOSPITAL FOR CHILDREN 1600 ROCKLAND ROAD WILMINGTON, DE 19803-3607 US
Tel: 302-651-4000  Fax: 302-651-4945

Business Mailing Address:
PO BOX 191 PROVIDER ENROLLMENT DEPT ROCKLAND, DE 19732-0191 US
Tel: 302-651-6212  Fax: 302-651-4945

NPI Information:
NPI: 1205928173
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N207L00000XPhysicians
Anesthesiology
DEC1-0003475
N207PP0204XPhysicians
Emergency Medicine
DEC10003475
N208000000XPhysicians
Pediatrics
DEC10003475
N2080P0204XPhysicians
Pediatrics
DEC10003475
Y208M00000XPhysicians
Hospitalist
DEC10003475

Other Provider Identifiers:

IssuerNumberStateType
7706618MD05
Q03475SC05
1217344PA05
6745652VA05
5031401NJ05
MD460DEAK05



American Medical Association 2012 taxonomy code information

Code: 208M00000X

Type:

Classification:



Definition:



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