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Individual
MARK LEVINE
Active
Individual
MARK LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MA
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
1021992
MA
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
Primary
1021992
MA
2084N0400X
Neurology Physician
1021992
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/22/2021
Last updated
07/01/2026
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