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NPI Code Detail

MEDICARE: BENJAMIN E. LEVITZKY M.D.

MEDICARE: BENJAMIN E. LEVITZKY 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 Physician222858MA
2207RG0100XGastroenterology Physician222858MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457392714
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN E. LEVITZKY M.D.
Provider Business Mailing Address
First Line : 2000 WASHINGTON ST STE 368
Second Line :
City : NEWTON
State : MA
Zip : 02462-1627
Country : US
Telephone Number : 617-969-1227
Fax Number : 617-969-2676
Provider Business Practice Location Address
First Line : 2000 WASHINGTON ST STE 368
Second Line :
City : NEWTON
State : MA
Zip : 02462-1627
Country : US
Telephone Number : 617-969-1227
Fax Number : 617-969-2676
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 08/14/2012

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