Provider Demographics
NPI:1356371850
Name:LEVY, NORMAN B (MD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:B
Last Name:LEVY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:DHMC-DEPT. PATHOLOGY
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-7171
Mailing Address - Fax:603-650-4845
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:DHMC-DEPT. PATHOLOGY
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-7171
Practice Address - Fax:603-650-4845
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH8820207ZH0000X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZH0000XAllopathic & Osteopathic PhysiciansPathologyHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80002391Medicaid
VT1004017Medicaid
NH80002391Medicaid
NHA50371Medicare UPIN