Philip R Cowit, M.ED.
Individual provider Active NPI Specialist · Hebron, CT
NPI 1508288408 · NPPES record last updated Jan 11, 2014
Key facts
- NPI
- 1508288408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- C072009002954 (CT)
- Practice address
- 3 Slocum Rd
Hebron, CT 06248-1422 - Phone
- (860) 228-0195
- NPI assigned
- Jan 11, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C072009002954 | CT | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | C072009002954 | CT | Yes |
Addresses
Primary practice location
3 Slocum Rd
Hebron, CT 06248-1422
Mailing address
3 Slocum Rd
Hebron, CT 06248-1422
Phone (860) 228-0195
Other providers in Hebron, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.