Individual
DR. ROBERT A LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 HARRISON AVE, MOAKLEY, 2ND FLOOR, BOSTON, MA 02118-2905
(617) 638-6525
(617) 638-7448
Mailing address
850 HARRISON AVE, YACC-BNC7, BOSTON, MA 02118-4001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
082855
NY
207R00000X
Internal Medicine Physician
241797
MA
207RG0100X
Gastroenterology Physician
082855
NY
207RG0100X
Gastroenterology Physician
Primary
241797
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00462813
—
NY
05
—
110084645A
—
MA
Enumeration date
06/13/2006
Last updated
09/24/2012
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