Individual
DR. JEREMIAH J LOWNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1234 HYDE PARK AVE, HYDE PARK, MA 02136-2819
(617) 364-2420
Mailing address
1234 HYDE PARK AVE, HYDE PARK, MA 02136-2819
(617) 364-2420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
151847
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151847
LICENSE
MA
Enumeration date
01/23/2007
Last updated
11/07/2007
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