Dr Ivan Stephen Lowenthal, MD | |
6 Devine St Ste 2c, North Haven, CT 06473-2222 | |
(203) 407-8002 | |
Not Available |
Full Name | Dr Ivan Stephen Lowenthal |
---|---|
Gender | Male |
Speciality | Internal Medicine - Medical Oncology |
Location | 6 Devine St Ste 2c, North Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043245889 | NPI | - | NPPES |
1683 | Other | CT | CT CONTROLLED SUBSTANCE |
001187897 | Medicaid | CT | |
18789 | Other | CT | CT. LICENSE |
06-1088532 | Other | TAX ID # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RX0202X | Internal Medicine - Medical Oncology | 18789 (Connecticut) | Primary |
Entity Name | Yale University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015 |
Entity Name | Yale New Haven Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336139500 PECOS PAC ID: 8325935018 Enrollment ID: O20040227000825 |
Mailing Address | Practice Location Address |
---|---|
Dr Ivan Stephen Lowenthal, MD 385 Huron Ave, Cambridge, MA 02138-6820 Ph: (860) 307-3393 | Dr Ivan Stephen Lowenthal, MD 6 Devine St Ste 2c, North Haven, CT 06473-2222 Ph: (203) 407-8002 |
Dr. Vincent Dicola, MD, FACC, NASPE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite #1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 | |
Dr. Georgia Ann Kelley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 100 Broadway, North Haven, CT 06473 Phone: 203-234-1891 Fax: 203-234-2678 | |
Dr. Lorenzo Salvatore Galante, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway, North Haven, CT 06473 Phone: 203-234-6500 Fax: 203-234-6503 | |
Dr. Dianne Jean Defusco, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Broadway, North Haven, CT 06473 Phone: 203-234-6500 Fax: 203-234-6503 | |
Dr. Eric Grubman, MD, FACC, NASPE Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2 Devine Street, Suite # 1, North Haven, CT 06473 Phone: 203-789-2272 Fax: 203-865-8614 | |
Parvati Singh, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 8 Devine St, North Haven, CT 06473 Phone: 203-287-3550 |