Individual
MELANIE R LEVITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CHP - LEE FAMILY PRACTICE, 11 QUARRY HILL ROAD, LEE, MA 01238
(413) 243-0536
(413) 243-8040
Mailing address
P.O. BOX 30, GREAT BARRINGTON, MA 01230
(413) 528-9311
(413) 644-0274
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
57045
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110048888A
—
MA
05
—
3067734
—
MA
01
—
768309
TUFTS
MA
01
—
J10756
BCBS
MA
Enumeration date
08/02/2005
Last updated
07/21/2022
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