Individual
BENJAMIN SAMUEL LEVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-0111
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(072) 482-7800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD24492
ME
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
MD24492
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912360959
—
ME
Enumeration date
03/29/2016
Last updated
12/08/2021
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