Individual
ANDREW G KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5624
Mailing address
41 MALL RD, BURLINGTON, MA 01805-0001
(781) 744-8000
(781) 744-5624
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
210723
MA
207LA0401X
Addiction Medicine (Anesthesiology) Physician
210723
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
210723
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0165310
—
MA
Enumeration date
09/15/2006
Last updated
08/03/2016
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