Provider Demographics
NPI:1861447948
Name:DOWLING, DOROTHY E (MD)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:E
Last Name:DOWLING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 MILK ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109-4806
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:133 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-1191
Practice Address - Fax:617-421-5828
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA60147207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0014791OtherNEIGHBORHOOD HEALTH PLAN
MA060147OtherTUFTS HEALTH PLAN
MA9471945-002OtherCIGNA
MAG269OtherHARVARD PILGRIM
MA3179940Medicaid
MAJ07584OtherBLUE CROSS
MAJ07584Medicare PIN
MAJ07584OtherBLUE CROSS