Provider Demographics
NPI:1104813377
Name:SOWA, DAVID E (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:E
Last Name:SOWA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 KENSINGTON AVE
Mailing Address - Street 2:GROVE HILL MEDICAL CENTER
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-3916
Mailing Address - Country:US
Mailing Address - Phone:860-747-0730
Mailing Address - Fax:860-747-2028
Practice Address - Street 1:184 EAST ST
Practice Address - Street 2:GROVE HILL MEDICAL CENTER
Practice Address - City:PLAINVILLE
Practice Address - State:CT
Practice Address - Zip Code:06062-2913
Practice Address - Country:US
Practice Address - Phone:860-747-0730
Practice Address - Fax:860-747-2028
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT029591207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004196095Medicaid
CT1255448144OtherGHMC GROUP NPI ID
CT482005OtherAETNA
CTP369836OtherOXFORD
CT001295915Medicaid
CT160031240OtherRAIL ROAD MEDICARE
CT01029591OtherCIGNA
CT010029591CT01OtherBCBS & BCFP ID
CT2959101OtherCONNECTICARE
CT368793OtherWELLCARE MEDICARE
CT060027OtherHEALTH NET
CT010029591CT01OtherBCBS & BCFP ID
CT001295915Medicaid
CT482005OtherAETNA