Healthcare Provider Details
I. General information
NPI: 1992618227
Provider Name (Legal Business Name): BWN INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
50 POST OFFICE RD STE 203
WALDORF MD
20602-3703
US
IV. Provider business mailing address
50 POST OFFICE RD STE 203
WALDORF MD
20602-3703
US
V. Phone/Fax
- Phone: 540-296-4357
- Fax: 240-222-3329
- Phone: 540-296-4357
- Fax: 240-222-3329
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAJENDRA
LOWTAN
Title or Position: PRESIDENT/FOUNDER
Credential: MD
Phone: 443-572-1262