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NPI Code Detail

MEDICARE: DR. AMY J. COWART D.O.

MEDICARE: DR. AMY J. COWART D.O.
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
1207Q00000XFamily Medicine PhysicianH0063351MD

General Provider Information

NPI Number : 1760593966
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMY J. COWART D.O.
Provider Business Mailing Address
First Line : 1111 BENFIELD BLVD
Second Line : SUITE 200
City : MILLERSVILLE
State : MD
Zip : 21108-3002
Country : US
Telephone Number : 410-729-5100
Fax Number : 410-729-5156
Provider Business Practice Location Address
First Line : 24 MAGOTHY BEACH RD STE A
Second Line :
City : PASADENA
State : MD
Zip : 21122-4414
Country : US
Telephone Number : 410-255-2700
Fax Number : 410-437-1962
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 06/21/2012

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