Organization
EVAN LEVINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN S LEVINE MD (AUTHORIZED OFFICIAL /OWNER)
(203) 431-0463
Entity
Organization
Contact information
Practice address
598 DANBURY RD, RIDGEFIELD, CT 06877-2718
(203) 431-0463
Mailing address
170 LOUNSBURY RD, RIDGEFIELD, CT 06877-4725
(203) 431-0463
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/02/2020
Last updated
09/16/2020
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