Individual
ELIZABETH A MIRABILE LEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
170 GRANDVIEW AVENUE, WATERBURY, CT 06708
(203) 759-3666
(203) 759-3671
Mailing address
170 GRANDVIEW AVENUE, WATERBURY, CT 06708
(203) 759-3666
(203) 759-3671
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
040464
CT
207RP1001X
Pulmonary Disease Physician
040464
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1404649
—
CT
Enumeration date
10/26/2006
Last updated
08/10/2015
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