MEDICARE: EDWARD WEST COWEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	D0058982	MD

General Provider Information

NPI Number	:	1639179716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD WEST COWEN M.D.

Provider Business Mailing Address
First Line	:	10313 GEORGIA AVE
Second Line	:	SUITE 309
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-5006
Country	:	US
Telephone Number	:	301-681-7000
Fax Number	:	301-681-1040

Provider Business Practice Location Address
First Line	:	10313 GEORGIA AVE
Second Line	:	SUITE 309
City	:	SILVER SPRING
State	:	MD
Zip	:	20902-5006
Country	:	US
Telephone Number	:	301-681-7000
Fax Number	:	301-681-1040

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2005
Last Update Date	:	09/27/2012

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Directions to “ EDWARD WEST COWEN M.D.” Practice Location

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