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Individual

BRADLEY A LEVINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
105 BRANDT DR, SUITE 202, CRANBERRY TWP, PA 16066-6437
(724) 741-6020
(724) 741-6022
Mailing address
105 BRANDT DR, SUITE 202, CRANBERRY TWP, PA 16066-6437
(724) 741-6020
(724) 741-6022

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
MD031375E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003918
HIGHMARK BLUE CROSS BLUE SHIELD
PA
05
1252156
PA
01
80547
AETNA US HEALTHCARE
PA
Enumeration date
07/19/2005
Last updated
09/17/2014
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