Organization
INTENSIVIST GROUP OF PENNSYLVANIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY S COWEN MD (PRESIDENT OWNER)
(800) 655-2656
Entity
Organization
Contact information
Practice address
501 SOUTH 54TH STREET, PHILADELPHIA, PA 19143-1900
(215) 748-9000
Mailing address
DEPT 4931, CAROL STREAM, IL 60122-4931
(800) 655-2656
(412) 822-7411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010047220001
—
PA
01
—
1637821
HIGHMARK BLUE SHIELD
PA
01
—
2315456000
INDEPENDENCE BLUE CROSS
PA
01
—
30019158
KEYSTONE MERCY
PA
01
—
34928
HEALTH PARTNERS
PA
01
—
DC3119
RAILROAD MEDICARE
PA
Enumeration date
05/08/2006
Last updated
04/20/2008
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