Individual
DANIEL JONATHAN KOWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 RICE RD, TEMPLETON, MA 01468-1332
(978) 939-2035
(978) 939-2039
Mailing address
PO BOX 1045, WORCESTER, MA 01613-1045
(978) 939-2035
(978) 939-2039
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
231689
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042477296
PRIVATE HEALTH CARE SYSTEM
MA
01
—
042477296
HEALTH CARE VALUE MANAGEMENT
—
01
—
1760690416
AETNA
MA
05
—
2137364
—
MA
01
—
AA121577
HARVARD PILGRIM HEALTH CARE
MA
01
—
J41439
BLUE CROSS AND BLUE SHIELD
MA
Enumeration date
05/18/2007
Last updated
02/22/2010
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