Provider Demographics
NPI:1376598334
Name:LOWNEY, TIMOTHY (DO)
Entity Type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:
Last Name:LOWNEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-3037
Mailing Address - Country:US
Mailing Address - Phone:781-828-5351
Mailing Address - Fax:781-821-5471
Practice Address - Street 1:709 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021-3037
Practice Address - Country:US
Practice Address - Phone:781-828-5351
Practice Address - Fax:781-821-5471
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA42842207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM09793Medicare ID - Type Unspecified
MAD33570Medicare UPIN