Individual
DR. ROBERT M LEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 MEDICAL PARK DR, SUITE 203, DOVER, OH 44622-3207
(330) 602-7702
(330) 602-4169
Mailing address
400 MEDICAL PARK DR, SUITE 203, DOVER, OH 44622-3207
(330) 602-7702
(330) 602-4169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-064326
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000538784
ANTHEM
OH
05
—
0266626
—
OH
01
—
1124036793
NPI
OH
01
—
2187360
MEDICAID GROUP #
OH
01
—
341882527
TAX ID
OH
01
—
341882527Q
AULTCARE
OH
01
—
9301652
MEDICARE GROUP #
OH
01
—
CG7848
RR MEDICARE GROUP #
OH
01
—
P00458762
RR MEDICARE
OH
Enumeration date
08/03/2006
Last updated
04/03/2014
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