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NPI Code Detail

MEDICARE: JANE LEVY

MEDICARE: JANE LEVY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantMA057439PA

General Provider Information

NPI Number : 1528459211
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE LEVY
Provider Business Mailing Address
First Line : 1500 MARKET ST
Second Line : LM 500, LOWER MEZZANINE, WEST TOWER
City : PHILA
State : PA
Zip : 19102-2100
Country : US
Telephone Number : 215-985-2500
Fax Number : 267-765-2325
Provider Business Practice Location Address
First Line : 1900 N 9TH ST
Second Line :
City : PHILA
State : PA
Zip : 19122-2024
Country : US
Telephone Number : 215-765-6690
Fax Number : 215-765-6694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2015
Last Update Date : 07/05/2016

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Directions to “ JANE LEVY ” Practice Location

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