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Individual

DR. SCOTT W. COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 WALNUT STREET, MOB, 5TH FLOOR, PHILADELPHIA, PA 19107-5563
(215) 955-6750
(215) 923-8222
Mailing address
1100 WALNUT STREET, MOB, 5TH FLOOR, PHILADELPHIA, PA 19107-5563
(215) 955-6750
(215) 923-8222

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD069197L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0130257
NJ
05
1018254680006
PA
Enumeration date
12/12/2006
Last updated
12/16/2014
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