Individual
DR. KEITH C LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
52 CEDAR ST, WORCESTER, MA 01609
(508) 752-5191
(508) 792-1514
Mailing address
52 CEDAR ST, WORCESTER, MA 01609
(508) 752-5191
(508) 792-1514
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
40136
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061481
—
MA
Enumeration date
10/25/2006
Last updated
07/08/2007
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