MEDICARE: SARAH BRONWYN LOWRY ADAMITIS M.D.

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	2080P0206X	Pediatric Gastroenterology Physician	D89011	MD
2	208000000X	Pediatrics Physician	MT214069	PA
3	208000000X	Pediatrics Physician	D89011	MD

General Provider Information

NPI Number	:	1477085496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH BRONWYN LOWRY ADAMITIS M.D.

Provider Business Mailing Address
First Line	:	550 N BROADWAY
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21205-2020
Country	:	US
Telephone Number	:	410-955-8769
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 NORTH BROADWAY RM 1003
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21264-1011
Country	:	US
Telephone Number	:	410-955-8769
Fax Number	:

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

Provider Enumeration Date	:	03/29/2017
Last Update Date	:	06/02/2024

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