Provider Demographics
NPI:1184661365
Name:HALLOWELL, EDWARD M (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:M
Last Name:HALLOWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:142 NORTH ROAD
Mailing Address - Street 2:THE HALLOWELL CENTER
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776
Mailing Address - Country:US
Mailing Address - Phone:978-287-0810
Mailing Address - Fax:
Practice Address - Street 1:142 NORTH ROAD
Practice Address - Street 2:THE HALLOWELL CENTER
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776
Practice Address - Country:US
Practice Address - Phone:978-287-0810
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA444312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry