Provider Demographics
NPI:1326015611
Name:LOWITT, MARK H (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:H
Last Name:LOWITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6535 N CHARLES ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5823
Mailing Address - Country:US
Mailing Address - Phone:410-321-1195
Mailing Address - Fax:410-321-1197
Practice Address - Street 1:6535 N CHARLES ST STE 200
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204-5823
Practice Address - Country:US
Practice Address - Phone:410-321-1195
Practice Address - Fax:410-321-1197
Is Sole Proprietor?:No
Enumeration Date:2006-03-05
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD44509207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF62493Medicare UPIN
155P-371GMedicare ID - Type Unspecified