Provider Demographics
NPI:1518927219
Name:LOWE, BARBARA ROSE (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ROSE
Last Name:LOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CHASE RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2107
Mailing Address - Country:US
Mailing Address - Phone:508-540-4010
Mailing Address - Fax:
Practice Address - Street 1:15 BRAMBLEBUSH PARK
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2325
Practice Address - Country:US
Practice Address - Phone:508-548-6969
Practice Address - Fax:508-540-2793
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA44461208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1201101OtherUNITED HEALTH PLAN
MA1589085002OtherCIGNA
MA712228OtherTUFTS
MAL07172OtherBLUE SHIELD
MA20020OtherHARVARD PILGRIM
MA000000029540OtherBOSTON HEALTH NET
MA2070596Medicaid
MA2070596Medicaid