Provider Demographics
NPI:1497191472
Name:LEVITER, JULIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:
Last Name:LEVITER
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 1:100 YORK ST STE 1F
Mailing Address - Street 2:
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5664
Mailing Address - Country:US
Mailing Address - Phone:203-737-7433
Mailing Address - Fax:203-737-7447
Practice Address - Street 1:100 YORK ST STE 1F
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06511-5664
Practice Address - Country:US
Practice Address - Phone:203-737-7433
Practice Address - Fax:203-737-7447
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-16
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT638432080P0204X
RI14971914722080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency MedicineGroup - Multi-Specialty