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Individual
MATTHEW TOD LEVY
Active
Individual
MATTHEW TOD LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
A61490
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A061490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-3374042
TAX ID
CA
01
—
A61490
MCA MEDICAL LIC
CA
Enumeration date
12/20/2006
Last updated
03/16/2016
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