Organization
BREAST IMAGING PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELSIE LEVIN MD (PRESIDENT)
(800) 927-0002
Entity
Organization
Contact information
Practice address
165 WORCESTER ST, WELLESLEY HILLS, MA 02481-3615
(800) 927-0002
(603) 893-8886
Mailing address
PO BOX 9135, BROOKLINE, MA 02446-9135
(603) 890-4404
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
MA
05
—
PENDING
—
MA
Enumeration date
10/23/2009
Last updated
10/23/2009
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