MEDICARE: STEPHEN J LOWE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	MD012722E	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	068469	OTHER	PA	HIGHMARK BLUE SHIELD
2	0052346000	OTHER	PA	KEYSTONE IBC
3	8017783	OTHER	PA	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184619199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHEN J LOWE MD

Provider Business Mailing Address
First Line	:	PO BOX 8500-6335
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-6335
Country	:	US
Telephone Number	:	215-807-8000
Fax Number	:	267-757-0565

Provider Business Practice Location Address
First Line	:	111 FLORAL VALE BLVD
Second Line	:	SUITE B
City	:	YARDLEY
State	:	PA
Zip	:	19067-5522
Country	:	US
Telephone Number	:	267-757-0560
Fax Number	:	267-757-0565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	07/16/2012

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