Individual
DR. RICHARD NORMAN LEVRAULT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
164 SUMMIT AVE, PROVIDENCE, RI 02906-2853
(401) 793-4501
Mailing address
575 BEECH STREET, HOLYOKE, MA 01040
(413) 534-2516
(413) 534-2754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
225338
MA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
225338
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110041575A
—
MA
05
—
2110041
—
MA
Enumeration date
05/16/2006
Last updated
06/08/2016
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