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Individual

DR. ERIC A. LEVINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
330 WASHINGTON ST, SUITE 310, NORWICH, CT 06360-2700
(860) 886-4747
Mailing address
330 WASHINGTON ST, SUITE 310, NORWICH, CT 06360-2700

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000717
CT
213EP1101X
Primary Podiatric Medicine Podiatrist
000717
CT
213ES0131X
Foot Surgery Podiatrist
000717
CT

Other

Enumeration date
05/16/2006
Last updated
03/24/2008
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