Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | OS005380L | PA |
NPI | 1053311795 |
---|---|
Provider Name | Dr. David Meir-Levi |
First Address | East Stroudsburg, PA 18301-3006 |
Second Address | Stroudsburg, PA 18360-8356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 01/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012371500007 | (05) | PA |
E78186 | (02) | PA |