Individual
ELEANOR ROSE LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3091
(215) 546-6679
(215) 456-8502
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD417234
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019161760001
—
PA
Enumeration date
05/18/2006
Last updated
08/08/2012
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