Provider Demographics
NPI:1134110687
Name:LEVIN, JOANNE (MD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:
Last Name:LEVIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STRAW AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1464
Mailing Address - Country:US
Mailing Address - Phone:413-582-9186
Mailing Address - Fax:413-582-0018
Practice Address - Street 1:15 STRAW AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1464
Practice Address - Country:US
Practice Address - Phone:413-582-9186
Practice Address - Fax:413-582-0018
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA70581207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA65990OtherHARVARD PILGRIM HEALTHCAR
MA7080142OtherAETNA
MD13894OtherHEALTH NEW ENGLAND
MA3049094Medicaid
MA000000007736OtherBMC HEALTHNET
MA102464OtherCIGNA
MAJ08471OtherBCBS OF MASS
MA44003615Other44003615
MA614074OtherTUFTS
MA742400OtherCONNECTICARE
MA65990OtherHARVARD PILGRIM HEALTHCAR
MAE10137Medicare UPIN