| Ethan Adrian Cowan, MD | |
|
150 Bergen St, Newark, NJ 07103-2496 | |
| (973) 972-5123 | |
| Not Available |
| Full Name | Ethan Adrian Cowan |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Addiction 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 |
| Entity Name | Icahn School of Medicine at Mount Sinai |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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. William Halperin, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 185 S Orange Ave, Msb F506, Newark, NJ 07103 Phone: 973-972-4422 |
Dr. Shreni Natoo Zinzuwadia, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St, Room C-370, Newark, NJ 07103 Phone: 973-972-9261 |
Ge Ma, MD Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 365 Osborne Ter, 1st Floor, Newark, NJ 07112 Phone: 973-926-7224 |