Individual
JAMI LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-2793
Mailing address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL, BOSTON, MA 02115
(617) 355-6429
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
76645
MA
2080P0202X
Pediatric Cardiology Physician
Primary
76645
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114775
—
CT
05
—
1006467
—
VT
05
—
2213734
—
NY
05
—
30006803
—
NH
05
—
3123740
—
MA
01
—
99020801
NETWORK HEALTH
MA
01
—
AA9224
HARVARD PILGRIM
MA
05
—
JL27001
—
RI
Enumeration date
11/03/2005
Last updated
10/14/2011
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