Provider Demographics
NPI:1609935154
Name:RONALD A LOEWE,MD,PA
Entity type:Organization
Organization Name:RONALD A LOEWE,MD,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOEWE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-263-0220
Mailing Address - Street 1:9400 ROBERTS AVE
Mailing Address - Street 2:UNIT 305
Mailing Address - City:SEA ISLE CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08243-1089
Mailing Address - Country:US
Mailing Address - Phone:609-263-0220
Mailing Address - Fax:
Practice Address - Street 1:9400 ROBERTS AVE
Practice Address - Street 2:UNIT 305
Practice Address - City:SEA ISLE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08243-1089
Practice Address - Country:US
Practice Address - Phone:609-263-0220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2008-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA41541261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ028201CN9OtherATLANTICARE REGIONAL MEDICAL CENTER
NJ001267Medicare ID - Type Unspecified
NJ028201CN9OtherATLANTICARE REGIONAL MEDICAL CENTER