Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | OS018098 | PA |
NPI | 1497014070 |
---|---|
Provider Name | Andrew M Levin |
First Address | Philadelphia, PA 19131-1633 |
Second Address | Philadelphia, PA 19131-1633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2012 |
Last Update Date | 16/01/2020 |