IndividualActive
Benjamin Fowler, MD, PHD
NPI 1508397050 · Ophthalmology Physician · Portland, ME
Provider details
- NPI number
- 1508397050
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 75332-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
15 Lowell St
Portland, ME 04102-2792
Phone: (207) 774-8277
Fax: (207) 871-1415
Approximate (ZIP-level) locationGet directions
Mailing address
1315 Eberhardt Ct
Madison, WI 53715-1633
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.