Individual
DR. MICHAEL H LEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, NEURORADIOLOGY GRB 241H, BOSTON, MA 02114-2621
(617) 724-7125
(617) 724-3338
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8321
(617) 724-3338
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
59372
MA
2085N0700X
Neuroradiology Physician
Primary
59372
MA
2085R0202X
Diagnostic Radiology Physician
59372
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3121569
—
MA
01
—
735978
TUFTS HEALTH PLAN
MA
01
—
J14493
BCBS MA
MA
Enumeration date
10/28/2005
Last updated
07/25/2012
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