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Individual

DR. ADAM LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-1547
Mailing address
100 KENYON AVE, WAKEFIELD, RI 02879-4216
(401) 788-1547

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO00833
RI
390200000X
Student in an Organized Health Care Education/Training Program
LP02570
RI

Other

Enumeration date
07/11/2012
Last updated
07/28/2021
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