Provider Demographics
NPI:1760484513
Name:CARTWRIGHT-LOWE, NADINE (MD)
Entity Type:Individual
Prefix:DR
First Name:NADINE
Middle Name:
Last Name:CARTWRIGHT-LOWE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NADINE
Other - Middle Name:
Other - Last Name:CARTWRIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:555 WILLARD AVE
Mailing Address - Street 2:VA CONNECTICUT HEALTHCARE SYSTEM
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-2631
Mailing Address - Country:US
Mailing Address - Phone:860-666-6951
Mailing Address - Fax:860-667-6875
Practice Address - Street 1:555 WILLARD AVE
Practice Address - Street 2:VA CONNECTICUT HEALTHCARE SYSTEM
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2631
Practice Address - Country:US
Practice Address - Phone:860-666-6951
Practice Address - Fax:860-667-6875
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT032999207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1329994Medicaid
CT1329994Medicaid
CT110007207Medicare ID - Type Unspecified