Healthcare Provider Details

I. General information

NPI: 1760484513
Provider Name (Legal Business Name): NADINE CARTWRIGHT-LOWE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NADINE CARTWRIGHT M.D.

II. Dates (important events)

Enumeration Date: 08/11/2005
Last Update Date: 08/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 WILLARD AVE VA CONNECTICUT HEALTHCARE SYSTEM
NEWINGTON CT
06111-2631
US

IV. Provider business mailing address

555 WILLARD AVE VA CONNECTICUT HEALTHCARE SYSTEM
NEWINGTON CT
06111-2631
US

V. Phone/Fax

Practice location:
  • Phone: 860-666-6951
  • Fax: 860-667-6875
Mailing address:
  • Phone: 860-666-6951
  • Fax: 860-667-6875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number032999
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: