Individual
DR. ROBERT PHILLIP LEAVITT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
734 BLISS RD, LONGMEADOW, MA 01106-1561
(413) 567-4500
Mailing address
734 BLISS RD, LONGMEADOW, MA 01106-1561
(413) 567-4500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78665
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020252
BMC HEALTHNET
MA
05
—
9782338
—
MA
01
—
J14350
BC/BS
—
Enumeration date
10/07/2005
Last updated
07/08/2007
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