Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080N0001X | Neonatal-Perinatal Doctor | 265855 | MA |
N | 2080P0214X | Pediatric Pulmonologist | 265855 | MA |
NPI | 1508108119 |
---|---|
Provider Name | Jonathan Craig Levin |
First Address | Boston, MA 02115-5724 |
Second Address | Boston, MA 02115-5724 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 16/07/2020 |