Individual
DR. JENNIFER T COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2301 S. BROAD STREET, SUITE 205, PHILADELPHIA, PA 19148-3542
(215) 551-8660
(215) 551-9247
Mailing address
2301 S. BROAD STREET, SUITE 205, PHILADELPHIA, PA 19148-3542
(215) 551-8660
(215) 551-9247
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD069214L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001797674
—
PA
05
—
2068460
—
MA
01
—
469194
TUFTS
MA
05
—
8195404
—
NJ
01
—
AA12578
HARVARD PILGRIM
MA
01
—
J27491
BLUE CROSS
MA
Enumeration date
01/31/2006
Last updated
05/14/2015
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