Provider Demographics
NPI:1215904982
Name:LOEWENSTEIN, MATTHEW SAMUEL (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:SAMUEL
Last Name:LOEWENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:300 MT AUBURN ST
Mailing Address - Street 2:SUITE 507
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02238
Mailing Address - Country:US
Mailing Address - Phone:617-876-5674
Mailing Address - Fax:617-661-7640
Practice Address - Street 1:300 MT AUBURN ST
Practice Address - Street 2:SUITE 507
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02238
Practice Address - Country:US
Practice Address - Phone:617-876-5674
Practice Address - Fax:617-661-7640
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA35973207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA035973OtherTUFTS
MA0163015Medicaid
MAB53083OtherBLUE CROSS
MAB53083OtherBLUE CROSS
MA0163015Medicaid