Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 25MA08725000 | NJ |
Y | 207K00000X | Allergist & Immunologist | MD428476 | PA |
N | 2080P0201X | Pediatric Allergist | MD 428476 | PA |
NPI | 1003850439 |
---|---|
Provider Name | Dr. Corinna Sabine Bowser |
First Address | Narberth, PA 19072-2417 |
Second Address | Narberth, PA 19072-2417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2006 |
Last Update Date | 02/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1016941410001 | (05) | PA |
I55986 | (02) | NJ |