Individual
MITCHELL J LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
186 ALEWIFE BROOK PKWY, SUITE 302, CAMBRIDGE, MA 02138-1121
(617) 441-5550
(617) 441-5552
Mailing address
PO BOX 86, HINGHAM, MA 02043-0086
(781) 749-9071
(781) 749-2133
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
46996
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6168477
—
MA
Enumeration date
08/15/2005
Last updated
03/30/2009
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