Individual
ELIZABETH M LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
152 DEAN ST, TAUNTON, MA 02780
(508) 824-3872
(508) 828-4925
Mailing address
362 N BEDFORD ST, EAST BRIDGEWATER, MA 02333-1148
(508) 350-2450
(508) 350-2318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
158547
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3167194
—
MA
01
—
MX2788
MEDICARE PTAN
MA
Enumeration date
08/09/2006
Last updated
04/06/2011
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