Provider Demographics
NPI:1578584959
Name:LOWENTRITT, BENJAMIN HUGH (MD)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:HUGH
Last Name:LOWENTRITT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:25 CROSSROADS DR
Mailing Address - Street 2:STE 306
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5421
Mailing Address - Country:US
Mailing Address - Phone:410-581-1600
Mailing Address - Fax:410-581-1603
Practice Address - Street 1:3333 N CALVERT ST
Practice Address - Street 2:STE 600
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2867
Practice Address - Country:US
Practice Address - Phone:410-467-7665
Practice Address - Fax:410-467-7746
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2014-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0063700208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD411322500Medicaid
MD411322500Medicaid
MD731LO280Medicare PIN