Healthcare Provider Details

I. General information

NPI: 1942532940
Provider Name (Legal Business Name): GAIL M. URBAN-LEVIN R.PH.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2010
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

261 CEDAR HILL ST BUILDING C - SUITE 120
MARLBOROUGH MA
01752-3056
US

IV. Provider business mailing address

261 CEDAR HILL ST BUILDING C - SUITE 120
MARLBOROUGH MA
01752-3056
US

V. Phone/Fax

Practice location:
  • Phone: 508-460-9813
  • Fax: 800-884-3013
Mailing address:
  • Phone: 508-460-9813
  • Fax: 800-884-3013

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPH20148
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: