Individual
STEPHEN JOHN LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1221 MAIN ST, SUITE 302, HOLYOKE, MA 01040-5396
(413) 536-5525
(413) 533-4084
Mailing address
1221 MAIN ST, SUITE 302, HOLYOKE, MA 01040-5396
(413) 536-5525
(413) 533-4084
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35906
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-2801718
FEDERAL ID NUMBER
MA
05
—
6168833
—
MA
Enumeration date
04/26/2006
Last updated
07/07/2010
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