Provider Demographics
NPI:1710059316
Name:DOWLING, CHRISTOPHER A (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:A
Last Name:DOWLING
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 412392
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-2392
Mailing Address - Country:US
Mailing Address - Phone:617-969-4100
Mailing Address - Fax:
Practice Address - Street 1:1 CRANBERRY HL STE 303
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02421-7397
Practice Address - Country:US
Practice Address - Phone:800-325-7284
Practice Address - Fax:205-579-9387
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME014821207ZP0102X
MA257516207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME2316685OtherAETNA USHC
ME266670099Medicaid
ME0005326630OtherAETNA
ME027137OtherANTHEM
MEM108782OtherCIGNA
MEMN0742OtherHPHC
NH30200187Medicaid
ME2316685OtherAETNA USHC
MEG59821Medicare UPIN
ME027137OtherANTHEM
MEMM703201Medicare PIN