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Individual

CLAYTON JOSEPH COWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
175 MADISON AVE FL 1, MOUNT HOLLY, NJ 08060-2099
(609) 914-6000
Mailing address
1 CONCORD LN, VOORHEES, NJ 08043-2829
(856) 753-7674

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08205700
NJ
207L00000X
Anesthesiology Physician
MD-055431L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01528246
PA
Enumeration date
06/27/2005
Last updated
10/01/2024
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