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Provider Information for 1508108119

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

JONATHAN CRAIG LEVIN M.D.

Gender: MALE

Individual NPI: 1508108119

Calendar   Last Updated:  2020-07-16
  Certification Date:  2020-07-16

Details

Name Value
NPI 1508108119
Enumeration Date 2013-03-21
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 300 LONGWOOD AVE CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115-5724
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115-5724
United States

Phone: 617-355-6000 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080N0001X - Pediatrics Neonatal-Perinatal Medicine MA 265855
No 2080P0214X - Pediatrics Pediatric Pulmonology MA 265855