Individual
DR. JEDD FRANKLIN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 482-5384
(860) 496-4951
Mailing address
200 KENNEDY DR, TORRINGTON, CT 06790-3096
(860) 482-5384
(860) 489-1799
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
026385
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026385
CT LICENSE
CT
01
—
13181
CT CONTROLLED SUBSTANCE
CT
Enumeration date
07/11/2006
Last updated
03/07/2023
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