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Individual
DR. PHILIP THALER LEVY
Active
Individual
DR. PHILIP THALER LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2012011151
MO
208000000X
Pediatrics Physician
273532
MA
2080N0001X
Neonatal-Perinatal Medicine Physician
2012011151
MO
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
273532
MA
Other
Enumeration date
06/04/2010
Last updated
07/26/2018
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