Provider Demographics
NPI:1376630269
Name:GABRIEL LOEWY, M.D., P.C.
Entity Type:Organization
Organization Name:GABRIEL LOEWY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEWY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-370-5176
Mailing Address - Street 1:3998 RED LION RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-1436
Mailing Address - Country:US
Mailing Address - Phone:215-370-5176
Mailing Address - Fax:215-598-9734
Practice Address - Street 1:3998 RED LION RD
Practice Address - Street 2:SUITE 210
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-1436
Practice Address - Country:US
Practice Address - Phone:215-370-5176
Practice Address - Fax:215-598-9734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD048711L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA29340OtherHEALTH PARTNERS
PA0015610170007Medicaid
PA0697538003OtherINDEPENDENCE BLUE CROSS
PA3349338OtherAETNA
PA1047026OtherKEYSTONE MERCY
PA754855OtherHIGHMARK BLUE SHIELD
PA29340OtherHEALTH PARTNERS
PA3349338OtherAETNA