Individual
BRUCE FARRELL LEVY
Active
Individual
BRUCE FARRELL LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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