Individual
PAUL D. LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRL STE 202B, RIVERSIDE, RI 02915-2234
(401) 649-4090
(401) 649-4091
Mailing address
110 ELM ST, PROVIDENCE, RI 02903-4626
(401) 649-4090
(401) 649-4091
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD06526
RI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD06526
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007061092
MEDICARE PTAN
RI
05
—
110087950A
—
MA
05
—
9006261
—
RI
Enumeration date
12/05/2005
Last updated
02/26/2019
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