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Individual
DR. JONATHAN D LEVINE
Active
Individual
DR. JONATHAN D LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
031481
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004400862
AETNA/US HEALTHCARE#
CT
01
—
001314814P1
BLUE CARE FAMILY PLAN#
CT
01
—
4832
CONNECTICARE#
CT
01
—
500HBL066CT01
BC/BS#
CT
01
—
5024698
CIGNA#
CT
Enumeration date
07/03/2006
Last updated
07/09/2007
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