Provider Demographics
NPI:1215927405
Name:ROWE, FREDERICK ANDERSON III (MD)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:ANDERSON
Last Name:ROWE
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:5601 NORRIS CANYON RD
Mailing Address - Street 2:SUITE # 240
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5407
Mailing Address - Country:US
Mailing Address - Phone:925-901-1303
Mailing Address - Fax:925-901-1302
Practice Address - Street 1:5601 NORRIS CANYON RD
Practice Address - Street 2:SUITE # 240
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5407
Practice Address - Country:US
Practice Address - Phone:925-901-1303
Practice Address - Fax:925-901-1302
Is Sole Proprietor?:No
Enumeration Date:2005-10-27
Last Update Date:2011-12-30
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Provider Licenses
StateLicense IDTaxonomies
CAG81287207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G812870Medicaid
CAF59925Medicare UPIN
CAFP515ZMedicare PIN