Provider Demographics
NPI:1669748406
Name:LEWKOWITZ, ADAM KORRICK (MD)
Entity type:Individual
Prefix:DR
First Name:ADAM
Middle Name:KORRICK
Last Name:LEWKOWITZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:455 TOLL GATE RD
Mailing Address - Street 2:PRC AND CREDENTIALING
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-2759
Mailing Address - Country:US
Mailing Address - Phone:401-273-0641
Mailing Address - Fax:401-273-2919
Practice Address - Street 1:101 PLAIN STREET 6TH FLOOR
Practice Address - Street 2:DIVISION OF MATERNAL FETAL MEDICINE
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903
Practice Address - Country:US
Practice Address - Phone:401-274-1122
Practice Address - Fax:314-747-1429
Is Sole Proprietor?:No
Enumeration Date:2012-03-27
Last Update Date:2021-05-07
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Provider Licenses
StateLicense IDTaxonomies
RIMD16580207VM0101X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI1669748406Medicaid