Individual
ELSIE LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
165 WORCESTER ST, WELLESLEY HILLS, MA 02481-3615
(617) 553-5300
Mailing address
PO BOX 9135, BROOKLINE, MA 02446-9135
(603) 893-9784
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
72761
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3066002
—
MA
01
—
735972
TUFTS
MA
01
—
J09976
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/15/2005
Last updated
12/24/2009
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