Provider Demographics
NPI:1932174802
Name:COWL, ALLISON S (MD)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:S
Last Name:COWL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:79 DUGWAY RD
Mailing Address - Street 2:
Mailing Address - City:PETERSHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01366-9725
Mailing Address - Country:US
Mailing Address - Phone:978-724-0214
Mailing Address - Fax:
Practice Address - Street 1:282 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-3322
Practice Address - Country:US
Practice Address - Phone:860-545-8737
Practice Address - Fax:860-545-9800
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220608208000000X, 2080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA469349OtherTUFTS HEALTH CARE
MA2068991Medicaid
MAJ27324OtherBCBS MA
MAA37085Medicare ID - Type Unspecified
MA2068991Medicaid