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Individual

JOHN M. LEWIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
35 PARK ST, NEW HAVEN, CT 06519-1110
(203) 688-1010
Mailing address
6962 E MEXICO AVE, DENVER, CO 80224-2242
(720) 333-1479

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
34514
CO
2085R0202X
Diagnostic Radiology Physician
Primary
69924
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01345149
CO
Enumeration date
08/12/2006
Last updated
09/05/2022
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