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Individual

JACK LEVIN

Active
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Individual

JACK LEVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD026169L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009132400007
PA
05
0009132400008
PA
05
0009132400013
PA
01
0058566000
KEYSTONE IBC
PA
01
00913240-02
AMERICHOICE - FRANKFORD
PA
01
00913240-03
AMERICHOICE - BUCKS
PA
01
00913240-04
AMERICHOICE - TORRES
PA
01
0144152
CIGNA
PA
01
07645
HEALTH PARTNERS
PA
01
080059643
RAILROAD MEDICARE
PA
01
1090642
KEYSTONE MERCY
PA
01
20029908
AMERIHEALTH MERCY
PA
01
429318
HIGHMARK BLUE SHIELD
PA
01
452729
AETNA CONTRACT
PA
01
PA0050405
TRICARE
PA
Enumeration date
07/17/2006
Last updated
11/23/2010
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