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Individual
MRS. ANNE MCGOWAN
Active
Individual
MRS. ANNE MCGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00113700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104669000
AMERIHEALTH HMO
NJ
01
—
1121207
AETNA HMO
NJ
01
—
1565030
AMERIHEALTH PPO
NJ
05
—
1704605
—
NJ
01
—
4109260
AETNA
NJ
01
—
8219546
GHI
NJ
01
—
P1082680
OXFORD
NJ
Enumeration date
06/26/2006
Last updated
07/09/2007
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