Individual
JAY S COWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 W 800 N, OREM, UT 84057-3660
(801) 783-5011
Mailing address
DEPT 4392, CAROL STREAM, IL 60122-0001
(866) 540-5303
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
11467514-1205
UT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD044182L
PA
207RP1001X
Pulmonary Disease Physician
036100737
IL
208M00000X
Hospitalist Physician
11467514-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014579300005
—
PA
01
—
036100737
BLUE CROSS BLUE SHIELD
IL
05
—
0361007372
—
IL
01
—
0695176000
INDEPENDENCE BLUE CROSS
PA
01
—
145793001
AMERICHOICE
PA
01
—
30019159
KEYSTONE MERCY
PA
01
—
34928MD044182L
HEALTH PARTNERS
PA
01
—
752958
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/20/2006
Last updated
11/09/2020
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