Individual
EDWARD LEVITAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
181 WELLS AVE, SUITE 202, NEWTON, MA 02459-3344
(617) 934-6400
(617) 934-6401
Mailing address
181 WELLS AVE, SUITE 202, NEWTON, MA 02459-3344
(617) 934-6400
(617) 934-6401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
222719
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
479166
TUFTS HEALTH PLAN
MA
01
—
AA65576
HARVARD PILGRIM
MA
01
—
J40331
BCBS OF MA
MA
Enumeration date
08/17/2006
Last updated
11/19/2015
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