Provider Demographics
NPI:1821058009
Name:LEVINE, ROBERT A (MD, FACE)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:LEVINE
Suffix:
Gender:M
Credentials:MD, FACE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2013
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03061-2013
Mailing Address - Country:US
Mailing Address - Phone:603-578-5090
Mailing Address - Fax:603-595-2997
Practice Address - Street 1:168 KINSLEY ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-3634
Practice Address - Country:US
Practice Address - Phone:603-881-7141
Practice Address - Fax:603-880-7221
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8531207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH232583234OtherUNITED HEALTHCARE
NH9625697OtherCIGNA HEALTHCARE
NH232583234OtherPRIVATE HEALTHCARE SYSTEM
NH4087726OtherAETNA
NHC330061OtherHARVARD PILGRIM HEALTHCAR
NH0106969Y0NH01OtherANTHEM BC/BS
NH9625697OtherCIGNA HEALTHCARE
NH9625697OtherCIGNA HEALTHCARE