Individual
MATTHEW LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2 INDUSTRIAL BLVD STE 200, PAOLI, PA 19301-1648
(610) 647-2400
(610) 647-3902
Mailing address
207 N BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19107-1500
(610) 647-2400
(610) 647-3902
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS016365
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103021070 0001
—
PA
Enumeration date
09/16/2009
Last updated
07/13/2023
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