Organization
LOEW FAMILY MEDICAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHARLOTTE ESTELLE LOEW M.D. (PHYSICIAN/OWNER)
(603) 898-9834
Entity
Organization
Contact information
Practice address
23 STILES RD, SUITE 213, SALEM, NH 03079-2859
(603) 898-9834
(603) 898-8253
Mailing address
23 STILES RD, SUITE 213, SALEM, NH 03079-2859
(603) 898-9834
(603) 898-8253
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
6712
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100891YPHN01
ANTHEM
NH
01
—
1750364725
NPI (PREVIOUS AS SOLE OWNER)
NH
01
—
725623
TUFTS
NH
01
—
D19031
BLUE CROSS BLUE SHEILD OF MASSACHUSETTS
MA
Enumeration date
12/29/2009
Last updated
12/29/2009
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