Provider Demographics
NPI:1821047630
Name:LOWN CARDIOVASCULAR GROUP, INC.
Entity Type:Organization
Organization Name:LOWN CARDIOVASCULAR GROUP, INC.
Other - Org Name:LOWN CARDIOVASCULAR GROUP, P C
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ZANE
Authorized Official - Last Name:BILCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-732-1318
Mailing Address - Street 1:830 BOYLSTON STREET, SUITE 205
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT HILL
Mailing Address - State:MA
Mailing Address - Zip Code:02467
Mailing Address - Country:US
Mailing Address - Phone:617-732-1318
Mailing Address - Fax:617-734-5763
Practice Address - Street 1:830 BOYLSTON STREET, SUITE 205
Practice Address - Street 2:
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467
Practice Address - Country:US
Practice Address - Phone:617-732-1318
Practice Address - Fax:617-734-5763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9723331Medicaid
MA9723331Medicaid