Individual
DR. ANDREW JOSEPH LEVADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 W MAIN ST, WATERBURY, CT 06708-3105
(203) 597-9100
Mailing address
1201 W MAIN ST, WATERBURY, CT 06708-3105
(203) 597-9100
Taxonomy
Speciality
Code
Description
License number
State
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
24838
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180000349
MEDICARE PTAN
CT
Enumeration date
06/10/2005
Last updated
01/15/2018
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