Provider Demographics
NPI:1144306473
Name:LEVIN & ZANGRILLO PC
Entity type:Organization
Organization Name:LEVIN & ZANGRILLO PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-740-1546
Mailing Address - Street 1:175 DERBY STREET
Mailing Address - Street 2:SUITE 16
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-4047
Mailing Address - Country:US
Mailing Address - Phone:781-740-1546
Mailing Address - Fax:781-740-0212
Practice Address - Street 1:175 DERBY STREET
Practice Address - Street 2:SUITE 16
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-4047
Practice Address - Country:US
Practice Address - Phone:781-740-1546
Practice Address - Fax:781-740-0212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-30
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW02601Medicare PIN