Provider Demographics
NPI:1407852031
Name:FOX, LOWELL E (MD)
Entity Type:Individual
Prefix:
First Name:LOWELL
Middle Name:E
Last Name:FOX
Suffix:
Gender:M
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:PO BOX 9120
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02027-9120
Mailing Address - Country:US
Mailing Address - Phone:781-329-1400
Mailing Address - Fax:781-278-5667
Practice Address - Street 1:325 RIVER RIDGE DR
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5027
Practice Address - Country:US
Practice Address - Phone:781-329-1400
Practice Address - Fax:781-278-5667
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37439208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
701455OtherTUFTS BENEFIT ADMINISTRAT
7319OtherHARVARD PILGRIM PPO
1998586OtherHEALTHSOURCE MASSACHUSETT
27402OtherCHILDRENS MEDICAL SECURIT
0016058OtherNEIGHBORHOOD HEALTH PLAN
1240256OtherUNITED HEALTH CARE PPO
1998586OtherCIGNA HEALTH CARE
701455OtherTUFTS
C18119OtherBLUESHIELDINDEMNITY
0145203OtherMASS HEALTH
701455OtherTUFTS COMMONWEALTH PPO
701455OtherTUFTS TOTAL HEALTH PLAN
7319OtherHARVARD PILGRIM POS
C18119OtherHMO BLUE/BLUE CHOICE
E03036OtherFIRST SENIORITY
7319OtherHARVARD/PILGRIM
C18119OtherBS-BLUE CARE ELECT
701455OtherTUFTS TOTAL HEALTH PLAN
7319OtherHARVARD/PILGRIM