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Individual

DAVID A LEVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300
Mailing address
180 CENTRE ST, BROCKTON, MA 02302-2733
(508) 586-6300

Taxonomy

Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
249945
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
198318100
MN
Enumeration date
08/16/2005
Last updated
03/31/2025
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