Provider Demographics
NPI:1336107960
Name:LEVI, VICTORIA M (MD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:M
Last Name:LEVI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:39 ENGLEWOOD AVE
Mailing Address - Street 2:APT NO. 15
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-7850
Mailing Address - Country:US
Mailing Address - Phone:617-469-0300
Mailing Address - Fax:
Practice Address - Street 1:300 SOUTH ST
Practice Address - Street 2:BOURNEWOOD HOSPITAL
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02467-3658
Practice Address - Country:US
Practice Address - Phone:617-469-0300
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA299662084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry