Individual
RICARDO LEWITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 MAIN ST, 102, NORTHBOROUGH, MA 01532-1914
(508) 393-7807
(508) 393-8608
Mailing address
112 MAIN ST, 102, NORTHBOROUGH, MA 01532-1914
(508) 393-7807
(508) 393-8608
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107557
—
MA
05
—
110000758A
—
MA
05
—
110089436A
—
MA
05
—
110094507A
—
MA
Enumeration date
06/26/2006
Last updated
10/10/2013
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