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Individual

DOUGLAS F. COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
300 PROFESSIONAL DR, SCARBOROUGH, ME 04074-8433
(207) 883-5295
Mailing address
PO BOX 1288, BLUE HILL, ME 04614-1288

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
009406
ME
2085N0700X
Neuroradiology Physician
009406
ME
2085N0904X
Nuclear Radiology Physician
009406
ME
2085P0229X
Pediatric Radiology Physician
009406
ME
2085R0202X
Diagnostic Radiology Physician
Primary
009406
ME
2085R0203X
Therapeutic Radiology Physician
009406
ME
2085R0204X
Vascular & Interventional Radiology Physician
009406
ME
2085U0001X
Diagnostic Ultrasound Physician
009406
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004546547
AETNA/USHC
ME
01
024276
ANTHEM
ME
01
2323428
AETNA
ME
01
B76901
HPHC
ME
01
M83152
CIGNA
ME
Enumeration date
10/24/2006
Last updated
09/28/2007
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