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Individual

DR. MATTHEW WILLIAM COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3332 ROCHAMBEAU AVE STE C, BRONX, NY 10467-2836
(718) 920-6311
(718) 920-6313
Mailing address
3332 ROCHAMBEAU AVE STE C, BRONX, NY 10467-2836
(718) 920-6311
(718) 920-6313

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
310909
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
F400227467
MEDICARE PTAN
IL
Enumeration date
04/25/2011
Last updated
12/13/2021
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