Basic Information
Provider Information
NPI: 1629211032
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROWLANDS
FirstName: JOHN
MiddleName: PATRICK
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1941 LIMESTONE RD STE 101
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198085413
CountryCode: US
TelephoneNumber: 3026559494
FaxNumber: 3026911478
Practice Location
Address1: 1941 LIMESTONE RD STE 101
Address2:  
City: WILMINGTON
State: DE
PostalCode: 198085413
CountryCode: US
TelephoneNumber: 3026559494
FaxNumber: 3026911478
Other Information
ProviderEnumerationDate: 04/15/2009
LastUpdateDate: 04/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X269847NYN Allopathic & Osteopathic PhysiciansAnesthesiology 
208VP0014XC1-0012348DEY Allopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine

No ID Information.


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