Individual
DR. IVAN LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
289 COUNTY RD, WINDSOR, VT 05089-9000
(774) 253-7402
Mailing address
289 COUNTY RD, WINDSOR, VT 05089-9000
(802) 674-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.0012922
VT
207R00000X
Internal Medicine Physician
125059040
IL
Other
Enumeration date
06/09/2011
Last updated
06/29/2017
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