Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0120X | Pediatric Surgery | 35.085913 | OH |
Y | 208C00000X | Colorectal Surgeon | 35.085913 | OH |
NPI | 1649340555 |
---|---|
Provider Name | Marc A Levitt |
First Address | Washington, DC 20010 |
Second Address | Washington, DC 20010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2006 |
Last Update Date | 23/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2547113 | (05) | OH |
H286770 | CGS-MEDICARE (01) | OH |