Individual
DR. LEWIS LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 HIGH ST, MERIDEN, CT 06450-5740
(203) 238-7646
(203) 238-0225
Mailing address
434 WEXFORD PL, CHESHIRE, CT 06410-1821
(203) 272-3062
(203) 238-0225
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017559
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017559CT01
BLUE CROSS
CT
01
—
080184851
RAILROAD MEDICARE
CT
Enumeration date
07/14/2006
Last updated
08/26/2010
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