MEDICARE: DR MICHAEL J LOWNEY,PC

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	207Q00000X	Family Medicine Physician	51365	MA

General Provider Information

NPI Number	:	1083051502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR MICHAEL J LOWNEY,PC

Provider Business Mailing Address
First Line	:	2081 CENTRE ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02132-3313
Country	:	US
Telephone Number	:	617-325-0365
Fax Number	:	617-325-0194

Provider Business Practice Location Address
First Line	:	2081 CENTRE ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02132-3313
Country	:	US
Telephone Number	:	617-325-0365
Fax Number	:	617-325-0194

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL JOSEPH LOWNEY
Credential	:	JD,DO
Telephone Number	:	617-325-0365

Provider Enumeration Date	:	05/23/2013
Last Update Date	:	05/28/2013

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