Individual
CHARLES RAY LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 CHEW STREET, THE SIGNAL CENTER, ALLENTOWN, PA 18102
(610) 776-5477
(610) 776-5479
Mailing address
450 CHEW STREET, THE SIGNAL CENTER, ALLENTOWN, PA 18102
(610) 776-5477
(610) 776-5479
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD014412E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079061
PA BLUE SHIELD
PA
01
—
50000228
CAPITAL BLUE CROSS
PA
Enumeration date
10/10/2006
Last updated
07/08/2007
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