MEDICARE: RONALD A LOEWE,MD,PA

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	261QM2500X	Medical Specialty Clinic/Center	MA41541	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	028201CN9	OTHER	NJ	ATLANTICARE REGIONAL MEDICAL CENTER

General Provider Information

NPI Number	:	1609935154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD A LOEWE,MD,PA

Provider Business Mailing Address
First Line	:	9400 ROBERTS AVE
Second Line	:	UNIT 305
City	:	SEA ISLE CITY
State	:	NJ
Zip	:	08243-1089
Country	:	US
Telephone Number	:	609-263-0220
Fax Number	:

Provider Business Practice Location Address
First Line	:	9400 ROBERTS AVE
Second Line	:	UNIT 305
City	:	SEA ISLE CITY
State	:	NJ
Zip	:	08243-1089
Country	:	US
Telephone Number	:	609-263-0220
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RONALD A LOEWE
Credential	:	MD
Telephone Number	:	609-263-0220

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	12/20/2008

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