Individual
DR. JONATHAN DAVID LOWENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Mailing address
985 PRINCE FREDERICK BLVD STE 201, PRINCE FREDERICK, MD 20678-3492
(410) 535-2005
(410) 535-4850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D33123
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110032509
RAILROAD MC
MD
01
—
2148224
AETNA PCP HMO
MD
05
—
394841200
—
MD
01
—
41717901
CAREFIRST OF MD
MD
01
—
4461101
AETNA NON-HMO
MD
01
—
836798
OPTIMUM CH-MDIPA
MD
01
—
C0410005
CAREFIRST OF DC
DC
Enumeration date
12/13/2006
Last updated
07/21/2022
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