MEDICARE: MICHAEL S LEVIN 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
1	207R00000X	Internal Medicine Physician	42133	MA

General Provider Information

NPI Number	:	1417041781
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL S LEVIN MD

Provider Business Mailing Address
First Line	:	2000 WASHINGTON ST
Second Line	:	STE 445
City	:	NEWTON
State	:	MA
Zip	:	02462-1608
Country	:	US
Telephone Number	:	617-965-1118
Fax Number	:	617-965-6547

Provider Business Practice Location Address
First Line	:	2000 WASHINGTON ST
Second Line	:	STE 445
City	:	NEWTON
State	:	MA
Zip	:	02462-1608
Country	:	US
Telephone Number	:	617-965-1118
Fax Number	:	617-965-6547

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	08/20/2012

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