Individual
DR. MATHEW LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
074072
GA
207X00000X
Orthopaedic Surgery Physician
E-8622
AR
207X00000X
Orthopaedic Surgery Physician
OS015919
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT013214
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003167726A
—
GA
05
—
003167726B
—
GA
Enumeration date
10/08/2010
Last updated
10/12/2016
Update your record
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