Individual provider · Type 1 NPI
Edward Raphael Levy, MD
Pediatric Adolescent Medicine Physician · Dorchester, MA
NPI number
1255309571
Active
Practice location
500 Columbia Rd, Mailstop 415-03
Dorchester, MA 02125-2322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Adolescent Medicine Physician Primary | 2080A0000X | 77208 (MA) |
Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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About NPI 1255309571
Edward Raphael Levy, MD's National Provider Identifier is 1255309571, issued on Mar 11, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Dorchester, MA. The record was last updated on Jul 8, 2007.