Individual
JONATHAN LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 FRANCIS ST, ASB-2, BOSTON, MA 02115-6105
(617) 732-6389
Mailing address
111 CYPRESS ST, BROOKLINE, MA 02445-6002
(617) 732-6389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
223289
MA
207RG0100X
Gastroenterology Physician
Primary
25MA08422400
NJ
Other
Enumeration date
01/02/2007
Last updated
06/13/2012
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