Individual
MITCHELL IRA LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 WASHINGTON ST, SUITE 546, NEWTON LOWER FALLS, MA 02462-1650
(617) 964-5020
(617) 964-3033
Mailing address
2000 WASHINGTON ST, SUITE 546, NEWTON LOWER FALLS, MA 02462-1650
(617) 964-5020
(617) 964-3033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49243
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402222
UNITED HEALTHCARE
MA
01
—
049243
TUFTS HEALTH PLAN
MA
01
—
110045881
RAILROAD MEDICARE
MA
05
—
3047822
—
MA
01
—
64271
HARVARD PILGRIM HEALTHCAR
MA
01
—
B10419201
CIGNA HEALTHCARE
MA
01
—
J08391
BLUE SHIELD
MA
Enumeration date
08/30/2006
Last updated
05/20/2008
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