Organization
CALVERT INTERNAL MEDICINE GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LOWENTHAL MD (PRESIDENT)
(410) 535-2005
Entity
Organization
Contact information
Practice address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4761
Mailing address
985 PRINCE FREDERICK BLVD, SUITE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256411400
—
MD
01
—
C041
CAREFIRST OF DC
DC
01
—
KB03
CAREFIRST OF MD
MD
Enumeration date
12/06/2006
Last updated
07/21/2022
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