Individual
MARILYN JEAN COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7990
Mailing address
26 QUEEN ST, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7990
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
136800
MA
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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