Individual
PENNY ANN LOWENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
210 NEW LONDON TPKE, GLASTONBURY, CT 06033-2235
(860) 633-1543
(860) 659-9755
Mailing address
210 NEW LONDON TPKE, GLASTONBURY, CT 06033-2235
(860) 633-1543
(860) 659-9755
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
024887
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010024887CT02
ANTHEM BC/BS OF CT
CT
01
—
052530
CONNECTICARE
CT
01
—
3739162002
CIGNA
CT
01
—
669512
AETNA
CT
Enumeration date
08/23/2005
Last updated
12/17/2007
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