Individual
MARC S LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 662-3005
(215) 662-7011
Mailing address
3400 SPRUCE STREET, 1 FOUNDERS, PHILADELPHIA, PA 19104-2640
(215) 662-3005
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD023267E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011112650006
—
PA
Enumeration date
06/27/2006
Last updated
04/25/2012
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