| George D Cowen, Md Professional Corp | |
|
19845 Lake Chabot Rd Suite 211 Castro Valley CA 94546-4055 | |
| (510) 582-6966 | |
| (510) 582-5632 |
| Full Name | George D Cowen, Md Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 19845 Lake Chabot Rd, Castro Valley, California |
| Authorized Official Name and Position | George D Cowen (OWNER) |
| Authorized Official Contact | 5105826966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| George D Cowen, Md Professional Corp 19845 Lake Chabot Rd Suite 211 Castro Valley CA 94546-4055 Ph: (510) 582-6966 | George D Cowen, Md Professional Corp 19845 Lake Chabot Rd Suite 211 Castro Valley CA 94546-4055 Ph: (510) 582-6966 |
| NPI Number | 1083891212 |
|---|---|
| Provider Enumeration Date | 01/30/2008 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083891212 | NPI | - | NPPES |
| P00185604 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G23713 (California) | Primary |
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