Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 232670 | MA |
Y | 208000000X | Pediatrician | MD440207 | PA |
NPI | 1003091406 |
---|---|
Provider Name | Dr. Katharine Taylor Levinson |
First Address | Voorhees, NJ 08043-3505 |
Second Address | Philadelphia, PA 19104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2008 |
Last Update Date | 26/03/2014 |