Dr. Ivan Stephen Lowenthal
Medical Oncology
6 Devine St Ste 2c
North Haven
, Connecticut 06473-2222
Dr. Ivan Stephen Lowenthal
Medical Oncology
6 Devine St Ste 2c
North Haven
, Connecticut 06473-2222
(860) 307-3393
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About
Features
Specialties
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Ivan Stephen Lowenthal
- 385 Huron Ave
- Cambridge, MA
- Zip : 02138-6820
- Phone : (860) 307-3393
Second Address
- Dr. Ivan Stephen Lowenthal
- 6 Devine St Ste 2c
- North Haven, CT
- Zip : 06473-2222
- Phone : (203) 407-8002
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RX0202X | Medical Oncology | 18789 | CT |
National Provider Identifier
| NPI | 1043245889 |
|---|---|
| Provider Name | Dr. Ivan Stephen Lowenthal |
| First Address | Cambridge, MA 02138-6820 |
| Second Address | North Haven, CT 06473-2222 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 29/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 001187897 | (05) | CT |
| 06-1088532 | TAX ID # (01) | |
| 1683 | CT CONTROLLED SUBSTANCE (01) | CT |
| 18789 | CT. LICENSE (01) | CT |
| AL7584027 | DEA (01) | |
| B84132 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.