MEDICARE: DR. ANDREW CARY TOWLEN DC

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	111NR0400X	Rehabilitation Chiropractor	934	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Y39923	OTHER	MA	BCBS GROUP NUMBER
2	Y37108	OTHER	MA	BCBS INDIVIDUAL PROVIDER

General Provider Information

NPI Number	:	1699815415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW CARY TOWLEN DC

Provider Business Mailing Address
First Line	:	PO BOX 160
Second Line	:
City	:	HAMILTON
State	:	MA
Zip	:	01936-0160
Country	:	US
Telephone Number	:	617-821-3379
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 MASSACHUSETTS AVE
Second Line	:	SUITE 007
City	:	CAMBRIDGE
State	:	MA
Zip	:	02140-1430
Country	:	US
Telephone Number	:	617-821-3379
Fax Number	:

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

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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