Basic Information
Provider Information
NPI: 1922001619
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COWDEN
FirstName: SHARON
MiddleName: N
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11279 PERRY HWY
Address2: STE 450
City: WEXFORD
State: PA
PostalCode: 150909303
CountryCode: US
TelephoneNumber: 7249331100
FaxNumber: 7249331160
Practice Location
Address1: 4923 CENTRE AVE
Address2:  
City: PITTSBURGH
State: PA
PostalCode: 152131805
CountryCode: US
TelephoneNumber: 4126811050
FaxNumber: 4126811040
Other Information
ProviderEnumerationDate: 05/27/2005
LastUpdateDate: 03/25/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD047834LPAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


Home