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NPI Code Detail

MEDICARE: LEVY D ANSALDO M.D.

MEDICARE: LEVY D ANSALDO M.D.
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
1207R00000XInternal Medicine Physician78638MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10554812OTHERMAAETNA
2J14341OTHERMABCBS
3078638OTHERMATUFTS
420527-0OTHERRIBCRI
565698OTHERMAHARVARD PILGRIM
6B5064998001OTHERMACIGNA
7000000024028OTHERMABMC
8404018OTHERRIBLUECHIP
9MA0030390OTHERMATRICARE
100003182OTHERMANHP
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
120400788OTHERMAUNITED HEALTH

General Provider Information

NPI Number : 1336127521
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEVY D ANSALDO M.D.
Provider Business Mailing Address
First Line : 874 PURCHASE ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740-6232
Country : US
Telephone Number : 508-996-2553
Fax Number : 508-990-7558
Provider Business Practice Location Address
First Line : 874 PURCHASE ST
Second Line :
City : NEW BEDFORD
State : MA
Zip : 02740-6232
Country : US
Telephone Number : 508-996-2553
Fax Number : 508-990-7558
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2006
Last Update Date : 07/08/2007

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