Individual
MITCHELL M LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, MAIN 7, PROVIDENCE, RI 02903
(401) 444-5518
(401) 444-3002
Mailing address
110 ELM ST, PROVIDENCE, RI 02903-4626
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD08805
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9025207
—
RI
Enumeration date
06/07/2006
Last updated
07/26/2018
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