Provider Demographics
NPI:1134142920
Name:TOWNE, BEVERLY M (MD)
Entity Type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:M
Last Name:TOWNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:541 MASON BAY RD
Mailing Address - Street 2:
Mailing Address - City:JONESPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04649-3501
Mailing Address - Country:US
Mailing Address - Phone:207-497-2996
Mailing Address - Fax:207-497-3467
Practice Address - Street 1:174 S FREEPORT RD
Practice Address - Street 2:SUITE 1 A
Practice Address - City:FREEPORT
Practice Address - State:ME
Practice Address - Zip Code:04032-6145
Practice Address - Country:US
Practice Address - Phone:207-865-7088
Practice Address - Fax:207-869-9013
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2009-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME012979207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME280990099Medicaid
ME280990099Medicaid
MEE69019Medicare UPIN