Individual
REBECCA A. LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
840 HARRISON AVE., 1ST FLOOR MENINO BLDG, BOSTON, MA 02118
(617) 414-4991
Mailing address
BMC PROVIDER ENROLLMENT OFFICE, 960 MASSACHUSETTS AVE,.2ND FLOOR, BOSTON, MA 02118-2560
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
291408
MA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
291408
MA
Other
Enumeration date
05/16/2016
Last updated
04/05/2024
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