Organization
DR. JAMES R. COWAN, JR. M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYANNE LARUE COWAN I LCSW, PH.D. (ADMINISTRATIVE DIRECTOR)
(201) 670-4124
Entity
Organization
Contact information
Practice address
61 N MAPLE AVE, RIDGEWOOD, NJ 07450-3255
(201) 670-4124
(201) 670-4120
Mailing address
61 N MAPLE AVE, SUITE # 305, RIDGEWOOD, NJ 07450-3255
(201) 670-4124
(201) 670-4120
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
NJ
Other
Enumeration date
04/11/2007
Last updated
05/18/2009
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