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General NPI Number Information
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NPI Number | 1750416814
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Entity Type | Individual
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Provider Name | HARVEY M LEVIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 420 BAINBRIDGE ST 201E
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City | PHILADELPHIA
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State | PA
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Zip | 19147-1568
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Country | US
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Telephone | 215-627-7080
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Fax | 215-627-7083
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Provider Business Mailing Address
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Address Line | 59 FESTIVAL DR
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City | VOORHEES
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State | NJ
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Zip | 08043-4326
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Country | US
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Telephone | 856-435-4774
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Fax | 856-627-9555
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 25MA01903100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | MD027798L
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License Number State | PA
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