Individual
DR. MICHAEL LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
15 PARKMAN ST, BOSTON, MA 02114-3117
(617) 726-8639
Mailing address
15 COOPER FIELD CT, PHOENIX, MD 21131-1311
(410) 979-8297
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
277585
MA
2084N0400X
Neurology Physician
D64941
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019426300
—
MD
Enumeration date
01/17/2007
Last updated
03/12/2019
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