Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | MD435839 | PA |
Y | 208200000X | Surgeon | MD435839 | PA |
Y | 208600000X | Surgeon | MD435839 | PA |
NPI | 1740205459 |
---|---|
Provider Name | Matthew H Levine |
First Address | Philadelphia, PA 19104-4206 |
Second Address | Philadelphia, PA 19104-4206 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 20/08/2015 |