Provider Demographics
NPI:1992950729
Name:ANDREW LOEWY, MD
Entity type:Organization
Organization Name:ANDREW LOEWY, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:LOEWY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-842-2000
Mailing Address - Street 1:4760 E GALBRAITH RD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6703
Mailing Address - Country:US
Mailing Address - Phone:513-842-2000
Mailing Address - Fax:513-842-2005
Practice Address - Street 1:4760 E GALBRAITH RD
Practice Address - Street 2:SUITE 217
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6703
Practice Address - Country:US
Practice Address - Phone:513-842-2000
Practice Address - Fax:513-842-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-20
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-036878174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty