Provider Demographics
NPI:1477525558
Name:MILOWE, GEORGE (MD)
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:MILOWE
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 1:11 BICKFORD RD
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-4017
Mailing Address - Country:US
Mailing Address - Phone:781-397-7408
Mailing Address - Fax:
Practice Address - Street 1:11 BICKFORD RD
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-4017
Practice Address - Country:US
Practice Address - Phone:781-397-7408
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA507102084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1019120OtherFALLON
MA0116041Medicaid
MA0205193000OtherAETNA
MA85891OtherCIGNA
MA050710OtherTUFTS
MAJO3421OtherBLUE CROSS BLUE SHIELD
MA009253OtherHARVARD PILGRIM
MAA31920Medicare ID - Type Unspecified
MA009253OtherHARVARD PILGRIM