Provider Demographics
NPI:1699815415
Name:TOWLEN, ANDREW CARY (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CARY
Last Name:TOWLEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 160
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:MA
Mailing Address - Zip Code:01936-0160
Mailing Address - Country:US
Mailing Address - Phone:617-821-3379
Mailing Address - Fax:
Practice Address - Street 1:1815 MASSACHUSETTS AVE
Practice Address - Street 2:SUITE 007
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-1430
Practice Address - Country:US
Practice Address - Phone:617-821-3379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA934111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAY39923OtherBCBS GROUP NUMBER
MAY37108OtherBCBS INDIVIDUAL PROVIDER
MAY39923OtherBCBS GROUP NUMBER