Provider Demographics
NPI:1962438044
Name:LOVETT, STUART M (MD FACOG)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:M
Last Name:LOVETT
Suffix:
Gender:M
Credentials:MD FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 STRATHMOOR DR
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1749
Mailing Address - Country:US
Mailing Address - Phone:510-848-2663
Mailing Address - Fax:
Practice Address - Street 1:8 STRATHMOOR DR
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1749
Practice Address - Country:US
Practice Address - Phone:510-848-2663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40757207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE95773Medicare UPIN