Loewenthal, Theodore

Loewenthal, Theodore is an individual health care provider with primary practice located at 6 Northwestern Dr Suite 302, Bloomfield CT 06002-3463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Loewenthal, Theodore can be contacted via phone (860) 243-5600.

Contact Information

Primary practice address
6 Northwestern Dr Suite 302 Bloomfield CT 06002-3463
Fax: (860) 243-3047
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 024561 Connecticut

Profile Details

NPI number 1780788398
LBN Legal business name Loewenthal, Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2006
Last updated Apr 29th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780788398 NPPES
Connecticut MEDICAID 001245612

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