Organization
CT EMERGENCY MEDICINE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE PAUL LEVINE MD (MANAGER MEMBER)
(860) 521-4250
Entity
Organization
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5161
(860) 585-3099
Mailing address
PO BOX 2699, DEPT 200, HARTFORD, CT 06146-2699
(866) 898-7138
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
400100
CONNECTICARE
—
01
—
500HBE465CT01
BCBS
—
01
—
CH7949
RAILROAD MEDICARE
—
Enumeration date
03/26/2007
Last updated
11/07/2007
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