Levy, Robert Gordon

Levy, Robert Gordon is an individual health care provider with primary practice located at 400 Highland Ave , Salem MA 01970-7003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Levy, Robert Gordon can be contacted via phone (978) 744-1177.

Contact Information

Primary practice address
400 Highland Ave Salem MA 01970-7003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 206015 Massachusetts

Profile Details

NPI number 1881692887
LBN Legal business name Levy, Robert Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Dec 30th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881692887 NPPES
Massachusetts MEDICAID 0102024

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