Individual
SCOTT M LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1785
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
9251
RI
2085R0202X
Diagnostic Radiology Physician
Primary
MD09251
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00 3117216
CT MED ASSISTANCE
—
01
—
000000001988
NHPRI
—
01
—
007005472
HOSPITAL PIN
—
01
—
009251
BLUE SHIELD
—
01
—
077530
TUFTS
—
01
—
16 00203
UNITED HEALTH PLANS
—
01
—
241368
RIH PILGRIM
—
01
—
300067446
RAILROAD MEDICARE
—
01
—
3200400
MASSMEDICAID
—
01
—
400131
BLUE CHIP
—
01
—
7005470
RI MEDICAL ASSISTANCE
—
01
—
720053001
CIGNA
—
Enumeration date
11/02/2005
Last updated
03/18/2019
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