Levesque, Bernadette M

Levesque, Bernadette M is an individual health care provider with primary practice located at 840 Harrison Ave Menino 3, Boston MA 02118-2905. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Levesque, Bernadette M can be contacted via phone (617) 414-4359.

Contact Information

Primary practice address
840 Harrison Ave Menino 3 Boston MA 02118-2905
Phone: (617) 414-4359
Fax: (617) 414-4361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 80100 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 80100 Massachusetts

Profile Details

NPI number 1881603157
LBN Legal business name Levesque, Bernadette M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jul 24th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881603157 NPPES
Massachusetts MEDICAID 110055513A

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