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NPI Code Detail

MEDICARE: DR. ANDREW JOSEPH LEVADA MD

MEDICARE:  DR. ANDREW JOSEPH LEVADA  MD
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
1207WX0110XPediatric Ophthalmology and Strabismus Specialist Physician24838CT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1180000349OTHERCTMEDICARE PTAN

General Provider Information

NPI Number : 1215931829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW JOSEPH LEVADA MD
Provider Business Mailing Address
First Line : 1201 W MAIN ST
Second Line :
City : WATERBURY
State : CT
Zip : 06708-3105
Country : US
Telephone Number : 203-597-9100
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W MAIN ST
Second Line :
City : WATERBURY
State : CT
Zip : 06708-3105
Country : US
Telephone Number : 203-597-9100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 01/15/2018

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Directions to “ DR. ANDREW JOSEPH LEVADA MD” Practice Location

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