Organization
PENINSULA ALLERGY ASSOCIATES, A MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NORTON COWAN M.D. (PRESIDENT)
(650) 692-1892
Entity
Organization
Contact information
Practice address
1828 EL CAMINO REAL, SUITE 703, BURLINGAME, CA 94010-3103
(650) 692-1892
Mailing address
1828 EL CAMINO REAL, SUITE 703, BURLINGAME, CA 94010-3103
(650) 692-1892
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ71046Z
MEDICARE IDENTIFICATION NUMBER
CA
Enumeration date
11/21/2006
Last updated
06/25/2008
Update your record
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