Individual
BERNADETTE M LEVESQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 HARRISON AVE # YACC4, BOSTON, MA 02118-4001
(617) 414-4359
(617) 414-4361
Mailing address
960 MASSACHUSETTS AVE STE 2, BOSTON, MA 02118-2690
(617) 414-5405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
80100
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
80100
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110055513A
—
MA
Enumeration date
08/05/2006
Last updated
04/08/2025
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