Organization
LEWIS LEVIN MD LLC
Active
Other names
Lewis Levin MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS LEVIN MD (OWNER)
(203) 238-7646
Entity
Organization
Contact information
Practice address
54 HIGH ST, MERIDEN, CT 06450-5740
(203) 238-7646
(203) 238-0225
Mailing address
54 HIGH ST, MERIDEN, CT 06450-5740
(203) 238-7646
(203) 238-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017559
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001175595
—
CT
01
—
010017559CT01
BLUE CROSS
CT
01
—
080184851
RAILROAD MEDICARE
CT
Enumeration date
09/29/2008
Last updated
11/12/2010
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