Individual
DEBORAH LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON, MA 02215-5491
(617) 667-8901
(617) 667-8212
Mailing address
147 SHERBURN CIR, WESTON, MA 02493-1049
(781) 235-1697
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
79542
MA
2085R0202X
Diagnostic Radiology Physician
G66972
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0487897
AETNA HMO1
MA
01
—
079542
SECURE HORIZONS, TUFTS
MA
01
—
16-00623
UNITED DIRECT ACCESS2
MA
01
—
16-01485
EVERCARE
MA
01
—
16-40213
UNITED DIRECT ACCESS 1
MA
01
—
2186722
AETNA HMO2
MA
01
—
300111897
RAILROAD MEDICARE
MA
05
—
3128474
—
MA
01
—
3580927-001
DIGNA PAL 1
MA
01
—
39754
FALLON
MA
01
—
4509267
AETNA NONHMO
MA
01
—
70010000J30678
BLUE CROSS
MD
01
—
989793
NETWORK HEALTH
MA
01
—
B20271101
CIGAN/HEALTHSOURCE HMO1
MA
01
—
F64452BI
HARVARD PILGRIM
MA
Enumeration date
06/09/2006
Last updated
03/02/2010
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