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Organization
GEORGE D COWEN, MD PROFESSIONAL CORP
Active
Organization
GEORGE D COWEN, MD PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE D COWEN MD (OWNER)
(510) 582-6966
Entity
Organization
Contact information
Practice address
19845 LAKE CHABOT RD, SUITE 211, CASTRO VALLEY, CA 94546-4055
(510) 582-6966
(510) 582-5632
Mailing address
19845 LAKE CHABOT RD, SUITE 211, CASTRO VALLEY, CA 94546-4055
(510) 582-6966
(510) 582-5632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G23713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00185604
RAILROAD MEDICARE
CA
Enumeration date
01/30/2008
Last updated
01/30/2008
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