Individual
MR. VITO FURY LEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
440 E GIRARD AVE, PHILADELPHIA, PA 19125-3326
(631) 741-3029
Mailing address
882 N 26TH ST, PHILADELPHIA, PA 19130-1821
(631) 741-3029
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
KO000646
PA
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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