Individual
ROBERT M LEVENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 WORCESTER ST, WELLESLEY, MA 02481-5420
(781) 431-5200
(781) 431-5298
Mailing address
147 MILK ST, PROVIDER ENROLLMENT - 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8053
(617) 421-3487
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40862
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015115
NEIGHBORHOOD HEALTH
MA
05
—
3191281
—
MA
01
—
713929
TUFTS
MA
01
—
B11680
BLUE CROSS
MA
01
—
PP115
HARVARD PILGRIM
MA
Enumeration date
01/12/2006
Last updated
07/08/2007
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