Organization
RICARDO LEWITUS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARD LEWITUS MD (OWNER)
(508) 393-7807
Entity
Organization
Contact information
Practice address
112 MAIN ST, SUITE 1028, NORTHBOROUGH, MA 01532-1914
(508) 393-7807
Mailing address
112 MAIN ST, SUITE 1028, NORTHBOROUGH, MA 01532-1914
(508) 393-7807
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
46064
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0107557
—
MA
Enumeration date
11/02/2012
Last updated
11/02/2012
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