Provider Demographics
NPI:1366598104
Name:COWEN, CARL R (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:R
Last Name:COWEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:PSC 827 BOX 283
Mailing Address - Street 2:FPO AE 09617
Mailing Address - City:PSC 827
Mailing Address - State:BOX 283
Mailing Address - Zip Code:FPO AE 09617
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:USNH NAPLES, ITALY
Practice Address - Street 2:
Practice Address - City:PSC 827
Practice Address - State:BOX 283
Practice Address - Zip Code:FPO AE 09617
Practice Address - Country:IT
Practice Address - Phone:081
Practice Address - Fax:6168
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010578992085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology