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Contact Information

JONATHAN D LEVINE, MD
28 CRESCENT ST
MIDDLETOWN, CT06457-3654
 Phone: 860-344-6174
 Fax: 860-344-6062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JONATHAN D LEVINE · (Male)

NPI Number 1649200064
Status Active
Credentials MD
Entity Individual
Enumeration date 07/03/2006
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 031481
  • CT Other 0004400862 AETNA/US HEALTHCARE#
  • CT Other 500HBL066CT01 BC/BS#
  • CT Other 001314814P1 BLUE CARE FAMILY PLAN#
  • CT Other 5024698 CIGNA#
  • CT Other 4832 CONNECTICARE#
Hospital affiliation(s)
  • MIDDLESEX HOSPITAL - (Acute Care)
    28 CRESCENT ST
    MIDDLETOWN, CT 06457
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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