Individual
MARILYN A. GOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7426
(757) 668-7784
Mailing address
PO BOX 79137, BALTIMORE, MD 21279-0137
(757) 668-7200
(757) 668-9691
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101045398
VA
2080P0214X
Pediatric Pulmonology Physician
Primary
0101045398
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000975001
—
DE
05
—
0018725450001
—
PA
05
—
006722067
—
VA
05
—
109921300
—
MD
05
—
6700074000
—
WV
05
—
890540I
—
NC
Enumeration date
05/12/2006
Last updated
12/09/2009
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