Individual
DR. WAYNE S LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3690 MAIN STREET, BRIDGEPORT, CT 06606
(203) 579-9000
(203) 374-6132
Mailing address
3690 MAIN STREET, BRIDGEPORT, CT 06606
(203) 579-9000
(203) 374-6132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20625
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001206259
—
CT
01
—
010020625CT01
ANTHEM BS
CT
01
—
061002165
CIGNA
—
01
—
4292492
AETNA
—
01
—
702165
CONNECTICARE
—
01
—
OV9670
HEALTHNET
CT
01
—
ZP382
OXFORD
—
Enumeration date
08/09/2006
Last updated
07/08/2007
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