Organization
COMMITTED TO CHANGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA LOWTAN M.D. (PSYCHIATRIST)
(240) 580-1919
Entity
Organization
Contact information
Practice address
500 MEMORIAL AVE, M304, CUMBERLAND, MD 21502-3732
(240) 580-1919
(443) 276-6712
Mailing address
500 MEMORIAL AVE, M304, CUMBERLAND, MD 21502-3732
(240) 580-1919
(443) 276-6712
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
D0058483
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403435003
—
MD
Enumeration date
04/26/2012
Last updated
04/26/2012
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