MEDICARE: MICHAEL G LEVINE M.D., FACC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	34504	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	010034504CT04	OTHER	CT	ANTHEM BC/BS
2	P984475	OTHER	CT	OXFORD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1033381	OTHER	CT	AETNA/USHC
5	OV8004	OTHER	CT	ACS/HEALTHNET
6	714079-5104	OTHER	CT	CONNECTICARE

General Provider Information

NPI Number	:	1982676862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL G LEVINE M.D., FACC

Provider Business Mailing Address
First Line	:	11 OLD PARK LN
Second Line	:
City	:	NEW MILFORD
State	:	CT
Zip	:	06776-2507
Country	:	US
Telephone Number	:	860-355-1149
Fax Number	:	860-355-5957

Provider Business Practice Location Address
First Line	:	11 OLD PARK LN
Second Line	:
City	:	NEW MILFORD
State	:	CT
Zip	:	06776-2507
Country	:	US
Telephone Number	:	860-355-1149
Fax Number	:	860-355-5957

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2006
Last Update Date	:	05/08/2025

Similar Medicare Providers

1285612051 — HAROLD J. KAMM M.D.
Practice Location Address:

11 OLD PARK LN
NEW MILFORD, CT
06776-2507

Practice Phone: 860-355-1149
Practice Fax: 860-355-5957

1518938166 — JEFFREY C. TYLER M.D.
Practice Location Address:

11 OLD PARK LN
NEW MILFORD, CT
06776-2507

Practice Phone: 860-355-1149
Practice Fax: 860-355-5957

1205808417 — DOREEN KONIK M.D.
Practice Location Address:

11 OLD PARK LN
NEW MILFORD, CT
06776-2507

Practice Phone: 860-355-1149
Practice Fax: 860-355-5957

1245248772 — DR. KAREN V TARBELL MD
Practice Location Address:

11 OLD PARK LANE RD
NEW MILFORD, CT
06776-2507

Practice Phone: 860-355-1149
Practice Fax: 860-210-2008

1740377050 — MS. GINGER TAYLOR A.P.R.N
Practice Location Address:

1 OLD PARK LANE RD , SUITE 2
NEW MILFORD, CT
06776-2507

Practice Phone: 860-355-3728
Practice Fax: 860-355-4253

1316036338 — MRS. JAN M ANDERSON RPT
Practice Location Address:

1 OLD PARK LANE RD
NEW MILFORD, CT
06776-2507

Practice Phone: 860-355-2213
Practice Fax:

Directions to “ MICHAEL G LEVINE M.D., FACC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.