Provider Demographics
NPI:1386866754
Name:FAMILY MEDICAL ASSOCIATES, P.C.
Entity type:Organization
Organization Name:FAMILY MEDICAL ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:P
Authorized Official - Last Name:LOWNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:781-828-5351
Mailing Address - Street 1:709 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021
Mailing Address - Country:US
Mailing Address - Phone:781-828-5351
Mailing Address - Fax:781-821-5471
Practice Address - Street 1:709 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MA
Practice Address - Zip Code:02021
Practice Address - Country:US
Practice Address - Phone:781-828-5351
Practice Address - Fax:781-821-5471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAM13560Medicare ID - Type Unspecified
MAD33570Medicare UPIN
MAA57077Medicare UPIN