Individual
DR. BRETT ADAM LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 VILLAGE SQ, SUITE 190, BALTIMORE, MD 21210-1602
(410) 435-8881
(410) 435-8886
Mailing address
1 VILLAGE SQ, SUITE 190, BALTIMORE, MD 21210-1602
(410) 435-8881
(410) 435-8886
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0065684
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146575YF38
MEDICARE PTAN
MD
05
—
20714400
—
MD
01
—
9600064
AETNA
MD
Enumeration date
06/27/2006
Last updated
06/28/2012
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