Provider Demographics
NPI:1740537828
Name:LOWY, DOUGLAS RONALD (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:RONALD
Last Name:LOWY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CENTER DRIVE
Mailing Address - Street 2:BLDG. 31, RM. 11A28
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:301-827-5699
Mailing Address - Fax:301-435-2396
Practice Address - Street 1:31 CENTER DRIVE
Practice Address - Street 2:BLDG. 31, RM. 11A28
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852
Practice Address - Country:US
Practice Address - Phone:301-827-5699
Practice Address - Fax:301-435-2396
Is Sole Proprietor?:No
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY118955-1207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology