Individual
WENDY LEVINBOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
65 MEMORIAL RD, SUITE 450, WEST HARTFORD, CT 06107-2434
(860) 523-1087
(860) 523-1472
Mailing address
65 MEMORIAL RD, SUITE 450, WEST HARTFORD, CT 06107-2434
(860) 523-1087
(860) 523-1472
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
039978
CT
207NS0135X
Procedural Dermatology Physician
039978
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1399783
—
CT
Enumeration date
06/22/2005
Last updated
10/02/2012
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