Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 00534 | MD |
NPI | 1154324010 |
---|---|
Provider Name | Dr. Mark Neal Levy |
First Address | Rockville, MD 20854-2956 |
Second Address | Rockville, MD 20854-2956 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 11/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
79394-8500 | (05) | MD |
T31181 | (02) | MD |