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Individual

MR. COREY TODD LEVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED

Contact information

Practice address
1493 CAMBRIDGE STREET, CAMBRIDGE, MA 02139
(617) 665-1000
Mailing address
60 I ST APT 3, SOUTH BOSTON, MA 02127-1450
(617) 780-9876

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary

Other

Enumeration date
08/19/2008
Last updated
08/19/2008
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