Individual
JONATHAN R LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
166 SAXER AVE, SPRINGFIELD, PA 19064-2335
(610) 328-7262
Mailing address
212 N BELMONT DR, MARGATE CITY, NJ 08402-2041
(215) 667-9327
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
OA002255
PA
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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