Provider Demographics
NPI:1295846079
Name:BROWNLOW, BETH (MD)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:BROWNLOW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 POWDER MILL RD
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-4808
Mailing Address - Country:US
Mailing Address - Phone:978-369-3272
Mailing Address - Fax:978-369-4280
Practice Address - Street 1:414 POWDER MILL RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-4808
Practice Address - Country:US
Practice Address - Phone:978-369-3272
Practice Address - Fax:978-369-4280
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA331312084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA26551OtherCIGNA
MA33131OtherMEDICAL LICENSE
MA5391020OtherAETNA
MA265373000OtherMAGELLAN
MAM08409OtherBLUE SHIELD
MA002022OtherVALUE OPTIONS
MA717435OtherTUFTS
MAAB6890087OtherD.E.A.
MA002022OtherVALUE OPTIONS
MAAB6890087OtherD.E.A.