Individual
BRUCE FARRELL LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 TER HEUN DR, SUITE 300, FALMOUTH, MA 02540-2533
(508) 540-0604
(508) 457-0129
Mailing address
90 TER HEUN DR, SUITE 300, FALMOUTH, MA 02540-2533
(508) 540-0604
(508) 457-0129
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
41230
MA
207RI0011X
Interventional Cardiology Physician
41230
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029655
BOSTON MEDICAL CENTER
MA
05
—
0170305
—
MA
01
—
060058501
MEDICARE ID
MA
01
—
11545062
CAQH
MA
01
—
1801999230
UNICARE
MA
01
—
2289161
AETNA
MA
01
—
25-00643
UNITED HEALTHCARE
MA
01
—
3127
HARVARD PILGRIM
—
01
—
708221
TUFTS HEALTH PLAN
MA
01
—
B20488202
CIGNA
MA
01
—
L07184
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/07/2006
Last updated
03/18/2009
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