MEDICARE: LEVY MEDICAL ASSOCIATES

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	208D00000X	General Practice Physician	OS002557L	PA

General Provider Information

NPI Number	:	1659516144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEVY MEDICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	5965 CHESTER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-5517
Country	:	US
Telephone Number	:	215-727-2442
Fax Number	:	215-727-8070

Provider Business Practice Location Address
First Line	:	5965 CHESTER AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-5517
Country	:	US
Telephone Number	:	215-727-2442
Fax Number	:	215-727-8070

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HOWARD R. LEVY
Credential	:	D.O.
Telephone Number	:	212-727-2442

Provider Enumeration Date	:	12/11/2008
Last Update Date	:	12/11/2008

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