Provider Demographics
NPI:1609846849
Name:LOWEN, MARY ANN D (MD)
Entity Type:Individual
Prefix:
First Name:MARY ANN
Middle Name:D
Last Name:LOWEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 2607
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01004-2607
Mailing Address - Country:US
Mailing Address - Phone:413-256-1774
Mailing Address - Fax:413-794-5153
Practice Address - Street 1:3350 MAIN ST
Practice Address - Street 2:D' AMOUR CENTER FOR CANCER CARE
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1112
Practice Address - Country:US
Practice Address - Phone:413-794-9338
Practice Address - Fax:413-794-5153
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-23
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA709262085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAE07429Medicare UPIN