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NPI Code Detail

MEDICARE: JOSEPH MARK KOWALSKI MD

MEDICARE: JOSEPH MARK KOWALSKI MD
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
1207RC0000XCardiovascular Disease Physician08396LA
2207RI0011XInterventional Cardiology Physician08396RLA
3207RC0000XCardiovascular Disease Physician08396RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00377443OTHERRRMC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205838182
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH MARK KOWALSKI MD
Provider Business Mailing Address
First Line : PO BOX 81398
Second Line :
City : LAFAYETTE
State : LA
Zip : 70598-1398
Country : US
Telephone Number : 337-269-9777
Fax Number : 337-269-0244
Provider Business Practice Location Address
First Line : 315 RUE LOUIS XIV
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-5734
Country : US
Telephone Number : 337-269-9777
Fax Number : 337-269-0244
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2005
Last Update Date : 01/28/2019

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Directions to “ JOSEPH MARK KOWALSKI MD” Practice Location

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