Individual
DR. PHILIP THALER LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012011151
MO
208000000X
Pediatrics Physician
273532
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
2012011151
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
273532
MA
Other
Enumeration date
06/04/2010
Last updated
07/26/2018
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