Individual
DR. WILTON CAHN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, ANESTHESIA ASSOCIATES CLN 309, BOSTON, MA 02114-2621
(617) 726-8809
(617) 726-7536
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
219951
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033852
—
MA
01
—
468830
TUFTS HEALTH PLAN
MA
01
—
J27124
BCBS MA
MA
Enumeration date
11/04/2005
Last updated
07/08/2007
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