MEDICARE: DR. MARC LEVINE M.D.

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
1	2084P0800X	Psychiatry Physician	D33339	MD
2	2084P0800X	Psychiatry Physician	MD036521	DC

General Provider Information

NPI Number	:	1619015096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARC LEVINE M.D.

Provider Business Mailing Address
First Line	:	1350 CONNECTICUT AVE NW
Second Line	:	SUITE 805
City	:	WASHINGTON
State	:	DC
Zip	:	20036-1722
Country	:	US
Telephone Number	:	202-265-3456
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 CONNECTICUT AVE NW
Second Line	:	SUITE 805
City	:	WASHINGTON
State	:	DC
Zip	:	20036-1722
Country	:	US
Telephone Number	:	202-265-3456
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	03/03/2017

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Directions to “ DR. MARC LEVINE M.D.” Practice Location

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