Individual
GARY M. LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DARTMOUTH HITCHCOCK MEDICAL CENTER, LEBANON, NH 03756-1000
(603) 650-6734
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6734
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
11710
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009035
—
VT
05
—
30203040
—
NH
Enumeration date
07/25/2006
Last updated
09/09/2011
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