Ethan Adrian Cowan, MD | |
150 Bergen St, Newark, NJ 07103-2496 | |
(973) 972-5123 | |
Not Available |
Full Name | Ethan Adrian Cowan |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 150 Bergen St, Newark, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366540585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 232321 (New York) | Primary |
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477899078 PECOS PAC ID: 2264691070 Enrollment ID: O20130717000798 |
Entity Name | Fpa Hospital Based |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629319413 PECOS PAC ID: 4789826694 Enrollment ID: O20130806000185 |
Entity Name | Icahn School Of Medicine At Mount Sinai |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124392238 PECOS PAC ID: 1850514258 Enrollment ID: O20140603000259 |
Mailing Address | Practice Location Address |
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Ethan Adrian Cowan, MD 185 S Orange Ave # Msbe-609, Newark, NJ 07103-2757 Ph: (973) 972-9438 | Ethan Adrian Cowan, MD 150 Bergen St, Newark, NJ 07103-2496 Ph: (973) 972-5123 |
Dr. Larissa Sophia Dudley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Suite D11, Newark, NJ 07112 Phone: 973-926-6671 | |
Dr. Charles Fleischner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 30 Bergen St, Admc 1110, Newark, NJ 07107 Phone: 973-972-9261 | |
Allen Judah Srulowitz, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102 Phone: 973-877-5500 | |
Dr. Christopher Delmaestro, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-6671 | |
Albert David Della Fave, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Rutgers University Hospital Emergency Dept., Newark, NJ 07103 Phone: 973-972-5123 | |
Brian Joseph Kenny, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 862-241-5729 | |
Dr. Pidok Thepmankorn, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 495 N 13th St, Newark, NJ 07107 Phone: 973-268-1400 |